General Information Position Applied For: Please Choose One Sales Parts Department Service Department Accounting Clerical Date: Last Name: First Name: Middle Initial: Current Address: City: State: Zip Code: Phone Number: Other Number: Emergency Number: Transportation: Please Choose One Car Bus Other Days Available: Please Choose One Monday - Friday Weekends Only Any Time Hours Available: I want to work: Please Choose One Full Time Part Time Are you seeking: Please Choose One Permanent Temporary Date Available to Begin: How did you hear about us? Please Choose One Newspaper Radio Magazine Employment Service Television Word of Mouth Have you ever been convicted of a felony or misdemeanor other than a minor traffic violation? (A past criminal record history DOES NOT necessarily disqualify you from employment) Please Choose One Yes No If YES, please explain: Education High School Name Did you Graduate Please Choose One Yes No If not, number of years attended Please Choose One 1 2 3 4 Major College Name Did you Graduate Please Choose One Yes No If not, number of years attended Please Choose One 1 2 3 4 5 6 Major Other College Attended Did you Graduate Please Choose One Yes No If not, how many years attended Please Choose One 1 2 3 4 5 6 Work History Dates Name of Business and Supervisors Information Job Title Reason For Leaving Release: Please read and sign the release below so we can chcek the information you have provided on this application: Investigating Authorization and Order Form Under the applicable provisions of the federal Fair Credit Reporting Act (FCRA), notice is hereby given that a consumer report or investigative consumer report may be made which may include information pertaining to your employment history, educational accomplishments, criminal record, driving record, credit history, character, general reputation, and personal characteristics. This report may also include information pertaining to commercial driver's license and commercial driving work history which, under provisions of the United States Department of Transportation, can include inquires into drug and alcohol testing and use. This report will be used for employment purposes only. An investigation into your workers compensation and/or industrial accident background may also be conducted according to the provisions of the Americans with Disabilites Act (ADA). We conducts business according to all federal and state laws. Sources also include contact by phone, FAX, U.S. Mail, and electronic mail of an applicant's previous employers, education officials, and other individuals who can provide accurate verification and confirmation of the applicant's background. However, we cannot guarantee the accuracy of the information provided by these sources, which include courts, pubic records databases, commonly accepted information sources, and individuals, including previous employers. I, the undersigned, have read and fully understand the above notice, I hereby authorize Buddy Jones Auto Group to investigate my employment history, educational accomplishments, criminal record, driving record, credit history, character, general reputation, personal characteristics, and information pertaining to a commercial driver's license and commercial driving work history, including inquiries into drug and alcohol testing and use. I authorize Buddy Jones Auto Group to verify the facts stated by me on the attached application and/or resume. I agree not to hold Buddy Jones Auto Group responsible in any manner for errors in information provided to Buddy Jones Auto Group by any of the sources Buddy Jones Auto Group uses to obtain such information about my employment history, educational accomplishments, criminal record, driving record, credit history, character, general reputation, and personal characteristics. I agree not to hold Buddy Jones Auto Group responsible for reports deemed by me to be incorrect, when Buddy Jones Auto Group has, in good faith and according to its established lawful practices, based its information on sources it normally utilizes, such as those listed above.   Date Signature Social Security Number