Please fill out the form below as completely as possible.
Name
Address
Available for work:
How Were You Referred to Us? Please Select Agency Friend/Relative Times Union Ad Jacksonville Employment Guide Ad Walk-in Other
Employment Data Begin with your present or last job and state experience over the past five (5) years. Include military assignments, part-time and/or volunteer activities. Email or fax a separate page if necessary.
State Job Title and Describe Your Work
Reason for Leaving
Company Name: Phone: Address: Employed (Month and Year) From To Name of Supervisor and Title: Salary Start: Last:
Education
Do you have any physical, mental or medical impairment or disability that would limit your job performance in the position for which you are applying? No Yes If yes, please explain:
Have you been convicted of a felony with the last seven years? Yes No Conviction is not necessarily a disqualification.
AGREEMENT
I certify that all statements given herin are true and complete and if employed, understand that false or misleading statements given in my application or interview(s) may result in termination regardless of the time they are discovered.
I authorize investigation of all statements contained in this application and any attachments for employment as may be necessary in arriving at an employment decision. I hereby release the Sun Tire, and all persons and organizations, from all claims and liability of any kind arising from such investigation or the supplying of information as part of such process.
I understand that I am required to abide by all rules and regulations of the Sun Tire, including responsibility for C.O.D.'s and the insurance deductible resulting from vehicle negligence or accident. I understand that my employment or offer of employment may be contingent upon successfully passing a physical examination, which may include drug testing.
I understand and agree that if employed, my employment with Sun Tire is at will and that nothing contained in this application is intended to promise or guarantee employment for any specific time.
I Agree
Sun Tire is an Equal Opportunity Employer.