Application for Employment
This form has been designed to strictly comply with state and federal fair employment practice laws prohibiting discrimination, all qualified applicants will receive equal consideration for employment without regard to race, religion, color, sex, national origin, age, military background or handicap.
( * denotes optional)

Select which of the Cole Automotive Group dealership(s) you wish to apply for:
Century Century - Portage, Michigan
Cole Krum - Vicksburg, Michigan
Cole Motor Company - Three Rivers, Michigan
Cole Chrysler - Marshall, Michigan
Cole Story Ford - Coldwater, Michigan
First Name
 
Middle
 
Last Name  
Telephone  

Present Street Address
 
City
  
State
Zip
  
How long at this address  

Previous Street Address
 
City
  
State
Zip
  
How long at this address  

In Case of Emergency Notify
Name  
Address  
Telephone  

Position Desired
  Full Time Part Time
Wages Desired *
 
Date You Can Start
  

How did you learn about this job? *
 

Ever applied to this company before?
 Yes No
What Department?  
When?  

Are you related to anyone in our employ?
 Yes No
If yes, Name  
Relationship  

Are you a citizen of the U.S.?
 Yes No
If no, do you have a permit which allows you to work?
 Yes No
Do you have a valid operator's license?
 Yes No
Do you have reliable transportation?
 Yes No
State of driver's license *
Driver's License # *
 
Has your operator's license ever been suspended, revoked or restricted?
 Yes No
If yes, when & why?  
Have you been in an auto accident in the past three years?
 Yes No
Have you ever been refused surety bond?
 Yes No
If yes, when & why?  
Have you ever been convicted of a crime?
 Yes No
If yes, when & why?  
Have you ever been discharged or required to resign from a position?
 Yes No
Are you on a lay-off and subject to recall?
 Yes No

Did you lose work time due to tardiness or absenteeism in the last year?
 Yes No
If yes
Hours
  
Days
  

Branch of service, if any: Navy Air Force Army Marines Reserves None
If served, date of discharge & rank: *
Date
  
Rank
  

Show Actual Experience by Checking the Following: *
Service Mgr Lubrication Office Clerk
Parts Mgr New Car Prep Phone Op./Recept.
Sales Mgr Washer/Polish Computer Op.
Office Mgr Parts Counter Warranty Clerk
Body Shop Mgr Parts Clerk Bookkeeper
Shop Foreman Parts Driver Messenger
Bodyman Porter Used Car Salesperson
Painter Maintenance New Car Salesperson
Mechanic Cashier Truck Salesperson
Helper Biller Finance.Ins. Person
Tower Op. Acc. Pay/Rec. Watchman
Service Advisor Sec./Typist
Other  
If applicable, check in which areas of repair you are certified by the Michigan Department of State: *
Engine Tune Up Front End/Steering Man. Trans/Axles
Engine Repair Auto. Transmission Heating and Air Cond.
Brakes, Braking System Electrical Systems Collision Repair
Other  

Michigan Mechanics Certification Number   Exp. Date  

Other Mechanics Certification Numbers   Exp. Date  

Have you been certified by the National Institute for Automotive Service Excellence (NIASE)? Yes No
If yes what areas? *  

Institution *
Major - Subject *
No. of Yrs. *
Degree *
High School or Prep School
       
University or College
       
Graduate School
       
Other-including Military, Service, Trade, or Business Schools
       

Employment Dates *
 Name and Address of Employer * Position or Title * Supervisor's Name *
From Month/Year To Month/Year
1.          
2.          
3.          
4.          

Employment Dates *
From Month/Year To Month/Year Salary Received * Reason for Separation *
1.      
 
2.      
 
3.      
 
4.      
 
Have you previously signed a non-disclosure or non-complete agreement with your current employer or any past employer?
 Yes No
If yes, explain *  

PLEASE READ CAREFULLY
Applicant's Certification, Authorization, and Acknowledgement
I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that if I employed, false statements on this application may subject me to dismissal. You are authorized to make an investigation of my employment history and my personal history through any investigative agencies or bureaus of your choice, and to contact my current and any of my former employers and I give such employers the right to release to you all records of my employment including assessment of my job performance, ability and fitness. I understand that you may require a motor vehicle record report and authorize you to obtain said report. I understand that you reserve the right to require that an offer of employment is conditional upon the results of a medical examination including but not limited to any drug screening test. I understand that you reserve the right to require a drug screening test anytime during employment. If employed, I understand that if I need an accommodation for a handicap under the Michigan Handicappers Civil Rights Act, I must notify the dealer in writing of my need for an accommodation within 182 days after I know or should have known that I need that accommodation and my failure to provide that notice will prevent me from claiming that my employer failed to accommodate my handicap under the act. This requirement does not waive an individuals right under the Americans With Disabilities Act. I further understand that the use of this form does not indicate that there are any positions open and does not in any way obligate this dealership. This application is current for Ninety (90) days. At the conclusion of this time, if I have not been employed by this dealership and still wish to be considered for employment, it will be necessary for me to fill out a new Application. Further, I understand and agree that I am hired by this dealership, unless specifically set forth in writing to the contrary and signed by the dealer and myself, my employment will be for no definite period, and may, regardless of the date of payment of my wages or salary, be terminated at any time for any reason or no reason at the will of the dealership without any previous notice.


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* denotes optional