Online Employment Application

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
Address:
City: State: * ZIP Code:
Survey Questions
How Long have you lived at this address?
Postion you are applying for, Salary Desired, Date Available:
Can you provide proof of U.S. citizenship, immigration, or visa status, which permits you to be emoloyed in the U.S.
Yes No
What type of employment are you seeking?
Full Time Part Time
Have you been found guilty of a traffic violation of any kind in the last five years?
Yes No
Have you ever pled guilty or "no contest" to a crime or been convicted of a crime?
Yes No
Do you have a valid drivers license? Please put your name exactly as it appears on your license, State, License Number, Date of Birth, and Expiration Date in box below
Employment History - Please include Employer Name, Job title, City, State, Supervisor Name and phone number, Job Start and end dates, Reason for leaving and if we may contact this employer.
Employment History 2 - Please include Employer Name, Job title, City, State, Supervisor Name and phone number, Job Start and end dates, Reason for leaving and if we may contact this employer.
Education Information - Please include Education type, School name, City, State, Course of Study, Degree, School Start and End dates.
Education Information 2 - Please include Education type, School name, City, State, Course of Study, Degree, School Start and End dates.
Please List any additional information or specialized skills you possess that you wish for us to consider while making a decision
* These fields are required
Jon Murdock Chevrolet-Cadillac
600 McCall Road
Manhattan, KS 66502
Phone: (877) 553-9977
Email: Contact Us
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