Service Motor Company - On-Line Employment Application

Apply On-Line for Job Positions at Service Motor Company

Names of Applicant:
Position(s) Applied For:
Current Address:
City:
State:
Zip:
How long have you lived there?
Previous Address:
City:
State:
Zip:
How long did you lived there?
Telephone:
Location you wish to work at:		Dale Fond du Lac Green Bay Seymour Stevens Point Wausau
Are you 18 years of age or older?:		Yes No
Have you ever been employed with us before?		Yes No
If Yes, please give dates and position:
Are you currently employed?		Yes No
Do you have any friends or relatives working for us?		Yes No
If Yes, please give names and relationships:
May we contact your employer?		Yes No
On what date would you be available for work?
Are you available to work:		Full Time Part Time Shift Work Temporary
Can you travel if a job requires it?		Yes No
Have you ever pled guilty or "no contest" to a crime or been convicted of a crime?		Yes No
Do you have any criminal charges pending?		Yes No
If yes to either, please explain:
Educational history:	High School:
	College:
	Trade or Correspondence
Indicate any foreign languages you can speak, read and/or write:
Describe any special training, apprenticeship, skills and extra-curricular activities:
Describe any job-related training in the U.S. military.
Employment Experience:
Present or Last Employer:
Address:
City, State, Zip Code:
Telephone:
Final Pay (Required):
Reason for Leaving
Previous Employer:
Address:
City, State, Zip Code:
Telephone:
Final Pay (Required):
Reason for Leaving
Previous Employer:
Address:
City, State, Zip Code:
Telephone:
Final Pay (Required):
Reason for Leaving
Have you ever been terminated or asked to resign from any job?		Yes No
If yes, please explain circumstances:
Please explain any gaps in your employment history:
Previous Experience:		Please indicate any actual experience that you have had in any of the following positions.
Office:		ControllerOffice Manager Bookkeeper Accounts Receivable Accounts Payable Payroll ClerkData Entry Customer Service
Maintenance/Repair:		Mechanic Diesel Mechanic Welder Electrician Electronic Repair Quality Control Shop Foreman
Other:		Truck Driver Forklift Operator Shipping/ Receiving Warehouse Sales
Please list any special technical qualifications:
List professional, trade, business or civic activities and offices held.
Other qualifications/ Specialized Skills: Summarize special job-related skills and qualifications acquired from employment or other experience.
Personal References:		Please list persons who know you well-- not previous employers or relatives.
Name:
Occupation:
Address (Street, City and State):
Telephone:
Number of years known:
Name:
Occupation:
Address (Street, City and State):
Telephone:
Number of years known:
Name:
Occupation:
Address (Street, City and State):
Telephone:
Number of years known:
Driving Information:
Do you have a current driver's license?		Yes No
State
License No.:
Expiration Date:
Has your driver's license ever been suspended or revoked?		Yes No
If Yes, please explain circumstances:
Do you have automobile insurance?		Yes No
Insurance Company:
Has your automobile insurance ever been cancelled?		Yes No
If Yes, please explain circumstances:
Have you ever been cited for driving under the influence (DUI) or driving while intoxicated (DWI)?		Yes No
If Yes, please explain circumstances and outcome:
Please list all moving traffic violations in the last five (5) years:
Offense:
Date:
Location:
Offense:
Date:
Location:
Offense:
Date:
Location:
Offense:
Date:
Location:

Please read the following Applicant's Statement before submitting your application!

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
APPLICANT'S STATEMENT

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, and the Company has the same right. No one other than the President of the Company has authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing.

I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I authorize the Company to investigate my driving record, my credit history and my criminal record. I further understand that the Company may contact my previous employers and I authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

By submitting this application, I certify that all of the information that I provide on this application and in any interview will be true, complete and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I will be dismissed.

***AUTHORIZATION TO OBTAIN CONSUMER REPORTS***

I CERTIFY THAT I HAVE READ, UNDERSTAND AND AGREE THAT THE COMPANY MAY OBTAIN ONE OR MORE CONSUMER REPORTS ON ME. THESE REPORTS, WHICH MAY INCLUDE CREDIT BUREAU REPORTS, CRIMINAL RECORD HISTORIES AND DRIVING RECORDS, MAY BE USED IN CONNECTION WITH MY APPLICATION FOR EMPLOYMENT AND FOR OTHER EMPLOYMENT-RELATED PURPOSES. I AUTHORIZE THE COMPANY TO OBTAIN THESE REPORTS.