LEXUS OF ORLANDO - APPLICATION FOR EMPLOYMENT

                    Position Desired                            Full Time  Part Time  Both       Date
                  

 

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
APPLICANT’S STATEMENT

I understand this application is not a promise of employment.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with or without notice or cause and the Company has the same right. No one other than an individual appointed by the Board of Directors of the Company has the authority to modify this relationship or to make any agreement to the contrary. Any such modification must be in writing and signed by the authorized agent.

I understand that the Company reserves the right to require me to submit to a medical examination after an offer of employment has been made. I also understand that a drug / alcohol test is required prior to employment and at any time during my employment to the extent permitted by applicable law. I also understand that I may be required to take other tests, such as personality and honesty tests, prior to employment and during my employment.

I understand that the Company or an outside third party may investigate allegations of workplace wrongdoing. I further understand that the Company may investigate my driving record, my criminal conviction record (if any) and that an investigative consumer report may be prepared whereby information is obtained though personal interviews with my neighbors, friends and other with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment I hereby fully waive any rights or claim I have or may have against my former employer, their agents, employees, and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me.

I hereby state that all the information that I provide on this application and in any interview is true and accurate. I understand that if I am employed any such information is later found to be false or misleading in any respect, I may be disqualified from employment consideration or, if discovered after my hire, I may be dismissed.

I VERIFY I HAVE READ AND AGREE TO THE ABOVE STATEMENT
 
Last Name   First Name   Middle Name

Current Address   Apt #   City

State   Zip   How long have you lived there? Years Months

Please fill out previous address if time at current address is less than two years.

Previous Address   Apt #   City

State   Zip   How long have you lived there? Years Months

Home Phone   Mobile Phone

Email Address

Are you at least 18 yrs of age? Yes No

Please indicate the days and the times you would be available to work:
 
Sunday Yes No Start Work End Work
Monday Yes No Start Work End Work
Tuesday Yes No Start Work End Work
Wednesday Yes No Start Work End Work
Thursday Yes No Start Work End Work
Friday Yes No Start Work End Work
Saturday Yes No Start Work End Work

 
Do you have any friends or relatives working here? Yes No
If Yes please specify their name

Do you have a reliable means of transportation to travel to and from work? Yes No
If your transportation is a private vehicle, please give the following information so we may identify it on the lot:
Year   Make   Model   Tag #   State

Have you ever been denied a driver's license or have one suspended or revoked? Yes No
Have you ever had any moving traffic violations in the past 3 years? Yes No
Have you had any auto accidents in the past 3 years? Yes No
If the answer was "Yes" to any of the above questions, please explain (give dates of violations or accidents)  Note, answering "Yes" will not necessarily disqualify you from employment.

 
Have you ever been convicted of or pled nolo contendre (no contest) to any federal, state, county or municipal law? Yes No
Have you ever been placed on probation for the violation of any federal, state, county, or municipal law? Yes No
Have you ever had adjudication withheld for the violation of any federal, state, county, or municipal law? Yes No
If the answer was "Yes" to any of the above questions, please provide additional information below (include city, county and state for locations.) * Note, answering "Yes" will not necessarily disqualify you from employment.

Once you turned 18 yeas of age, have you ever been a resident of another state?  Yes No
If Yes, indicate City & State: 1.   2.   3.   4.

Are you currently involved in or have you ever been a party to any civil litigation? Yes No
(i.e. Have you been sued or has anyone ever sued you?)
If Yes, please give dates, details and current status of each:

EDUCATION

Type Name/Location Course/Major # years completed Degree / Diploma
Elementary/Jr. High
High School
College
Technical or Other
Describe Specialized Training, Military Experience, Skill and Extra Curricular Activities:

 

ABILITY TO PERFORM JOB

Are you able to perform the essential function of the job for which you are applying with or without reasonable accommodation?  Yes No

RECORD OF PERVIOUS EMPLOYMENT

Please list the names of your previous employers in chronological order with present or last employers listed first.  Be sure to account for all periods of time including military service and any period of unemployment.  If self-employed, give firm names and supply business references.

  Company Name / Address / Phone Number Employment Dates Position / Supervisor Rate of Pay Reason for Leaving
1
2
3
4

Have you been terminated or asked to resign from any job? Yes No

If Yes, explain circumstances:

Please explain fully any gaps in your employment history:

If currently employed, may we contact your current employer? Yes No

If No, please explain:

PERSONAL REFERENCES

  Name Address Telephone Number # of Years Known
1
2
3
4

I UNDERSTAND THAT SHOULD I BE OFFERED AND SHOULD I ACCEPT EMPLOYMENT WITH THE COMPANY, I SHALL NOT WORK, EITHER FULL OR PART-TIME, AS AN EMPLOYEE OR AS AN INDEPENDENT CONTRACTOR, IN ANOTHER POSITION, WITH ANOTHER PERSON OR ENTITY.

I UNDERSTAND AND AGREE THAT IN THE EVENT A DISPUTE ARISES OUT OF MY APPLICATION FOR EMPLOYMENT OR EMPLOYMENT WITH THE COMPANY AND THE COMPANY DOES NOT RESOLVE THE DISPUTE INTERNALLY IN A SATISFACTORY MANNER, THE DISPUTE IS TO BE SUBMITTED TO UPCHURCH, WATSON & WHITE MEDIATION GROUP, OR A DESIGNATED COMPANY FOR MEDIATION AND IF NECESSARY, FINAL AND BINDING ARBITRATION, PURSUANT TO THE RULES FOR ARBITRATION ESTABLISHED BY UPCHURCH, WATSON & WHITE MEDIATION GROUP, OR ITS DESIGNATED SUCCESSOR, FLORIDA STATUTES CHAPTER 682 AND/OR THE FEDERAL ARBITRATION ACT, AS MAY BE APPROPRIATE. ANY MEDIATION / ARBITRATION PROCEEDINGS WILL INCORPORATE, ADMINISTER AND BE CONDUCTED CONSISTENT WITH ANY APPLICABLE PROCEDURAL OR SUBSTANTIVE LEGAL STANDARDS.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

AS NOTED ABOVE, I CERTIFY THAT ALL THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE, AND I UNDERSTAND THE PREVIOUSLY STATED POSSIBLE CONSEQUENCES OF ANY FALSE OR MISLEADING STATEMENT.

I VERIFY I HAVE READ AND AGREE TO THE ABOVE STATEMENT
 

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