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Courtesy Tire is always looking for self-motivated, hard working people to work in Sales, Automotive Service and Lube/Tire work. At Courtesy Tire we offer competative wages, medical dental and vision Insurance benefits, paid holidays and vacations and our service technicians and sales staff enjoy a 4/10 work schedule. If you think you would be a good fit for our company, please use the form below to apply.

Job Application

All fields marked with a * are required:
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PERSONAL INFORMATION

Last Name*
First Name*
Middle Initial*
Soc. Sec. No.*
Address:*
City:*
State:*
Zip:*
Phone No: *
What position are you applying for?
Are you eligible for employment in the US?* Yes No

Are you under 18?* Yes No

Do you have a valid drivers license?* Yes No

Has it ever been suspended or revoked?* Yes No

Ever been convicted of a crime other than a minor traffic violation?* Yes No

If yes please explain:

EDUCATIONAL DATA

High School Name:
Address:
City:
State:
Graduate? Yes No

College Name:
Address:
City:
State:
Graduate? Yes No

Other School Name:
Address:
City:
State:
Graduate? Yes No

PREVIOUS EMPLOYMENT DATA

Employer Name:*
Address:
(Please Include City and State) *
Job Title:*
Duties:*
Dates Employed From:*
To:*
Salary:*
Reason for leaving:*
Name of supervisor:*
Employer Name:
Address:
(Please Include City and State)
Job Title:
Duties:
Dates Employed From:
To:
Salary:
Reason for leaving:
Name of supervisor:
Employer Name:
Address:
(Please Include City and State)
Job Title:
Duties:
Dates Employed From:
To:
Salary:
Reason for leaving:
Name of supervisor:
Briefly describe the type of work you feel best suited for based on your previous employment experience:*
Do you have any certifications or professional memberships?
Minimum salary required:*
How soon can you start?*

PERSONAL REFERRENCES OTHER THAN FORMER EMPLOYERS AND RELATIVES

Name:*
Address:*
Occupation:*
Name:*
Address:*
Occupation:*
Name:*
Address:*
Occupation:*

EQUAL EMPLOYMENT OPPORTUNITY POLICY

It is the poicy of Courtesy Tire Inc. that applicants for employment are recruited, selected and hired on the basis of individual merit and ability with respect to the positions being filled and potential for promotion or transfer which may be expected to develop. Applicants are to be recruited, selected and hired without discrimination because of race, color, religion, sex, age, national origin, handicap, or disability.

In addition, personnel procedures and practices with regard to training, promotion, transfer, compensation, demotion, lay off, or termination are to be administered with due regard to job performance, experience and qualifications, but without discrimination because of reace, color, religion, sex, age, national origin, handicap, or disability.

The company is subject to section 503 of the rehabilitation act of 1973 and section 402 of the Vietnam era veteran readjustment assistance act of 1974 which require that the company affirmative action to employ and advance in employment qualified handicapped individuals and disabled veterans. If you have such a handicap or disability and would like to be considered under these affirmative action programs, please inform the employment office. Information obtained concerning individuals shall be kept confidential, except when neccessary for managerial decisions.

I affirm that all the information contained in this application is true and complete and that any misrepresentation, or falsification herin, shall be sufficient grounds for dismissal from, or refusal of employment. I hereby authorize investigation of all statements contained in this application. I, also, hereby authorize the company to prepare or cause to be prepared an investigative consumer report. Upon my written request, the complete nature and scope of the investigation will be disclosed. If employment is denied either wholly or partially because of an adverse consumer report, I understand that I will be advised of this fact including the name and business address of the reporting company. I further state that I am not and never have been a member of any organization which advocates overthrow of or seeks to alter by unconstitutional means the government of the United States of America.

I understand that my employment, compensation, and benefits can be terminated at any time at the option of either the company or me.

I HAVE READ THE ABOVE STATEMENT AND AGREE*

Please type your name as your electronic signature:*
Date:*



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