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Employment Application

 

  Indicates required field

  Personal Information  
First Name
Middle name
Last name
Phone
Address
City
State
Zip
Are you 18 years of age or older? Yes   No
Drivers License#
Email Address

Positions applying for

  Locations applying for    required
select all
Grandview Tire & Auto  
5100 Vernon Ave, Edina, MN
Grandview Tire & Auto  
5415 70th St W, Edina, MN
Edina Tire & Auto  
5354 France Ave, Edina, MN
ProTech Automotive  
7358 160th St W, Lakeville, MN


Have you filed an application with us before?  Yes   No
If YES give date
Have you ever been employed with us before?  Yes   No
If YES give date
Are you employed now?  Yes   No
May we contact your present employer?   Yes   No
Are you a citizen of the United States or do you have legal right to be employed in the United States? Yes   No (Proof of citizenship or immigration status may be required upon employment.)
On what date would you be available for work?   
When are you available to work?     Full time   Part time   Temporary Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   select all
Hours available: Business Hours: Monday – Friday 7AM to 8PM, Saturday 8AM to 5PM
Are you on a lay-off and subject to recall?   Yes   No
Do you have any physical, mental or medical impairment or disability that would limit your job performance for the position for which you are applying?  Yes   No

If Yes, explain:
You may attach a resume here (optional):

Education

  High School  
School Name
Grade Completed
9   10   11   12
Diploma
Yes   No
Describe course of study


  College/University/Tech School  
School Name
Years Completed
1   2   3   4
Diploma / Degree
Describe course of study


Employment Experience

Start with your present or most recent employment

  Current or most recent employer  
Employer
Address
Job Title
Supervisor
Job Details
Dates Employed
From:    To:
Reason for leaving

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  past employer 2  
Employer
Address
Job Title
Supervisor
Job Details
Dates Employed
From:    To:
Reason for leaving

add past employer 3
hide employer 3
  past employer 3  
Employer
Address
Job Title
Supervisor
Job Details
Dates Employed
From:    To:
Reason for leaving

add past employer 4
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  past employer 4  
Employer
Address
Job Title
Supervisor
Job Details
Dates Employed
From:    To:
Reason for leaving


References

Three are required
Give Name, Address and Telephone number of three references who are not related to you and are not previous employers.

  Reference #1  
Name
Phone

  Reference #2  
Name
Phone

  Reference #3  
Name
Phone



Special Training, Skills, Certifications, Hobbies, etc

State any additional information you feel may be helpful to us in considering your application.

How did you hear about us?


  Agreement  
By submitting this application I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) my result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.

     I Agree       
Required information is missing.
     
     
Signature of Applicant   Date


7358 160th St. W.
Lakeville , MN   55068
(952) 432-2454