Apply at Musante Motorsports

Employment Form

Applicant Name

Position ( list only one )

Telephone Number

Alternate Telephone / Cellular Number

Present Address

City

State

Zip

How Long have you lived there?

Email (optional)

If under the age of 18, can you produce the necessary work certificate at the time of employment?

Yes

Type of employment desired?

Full-time

Part-time

Are you willing to work overtime?

Yes

Date on which you can start work if hired

Have you previously applied for employment with this Company?

Yes

If Yes, when and where did you apply?

Have you ever been employed by this Company?

Yes

If Yes, provide dates of employment, location and reason for separation from employment.

If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.

Education	School Name and Location(Address, City, State)	Course of Study or Major	Graduate? Y or N	# of Years Completed	Honors Received
High School
College
Graduate/ Professional
Trade or Correspondence

Employer

Name

Address

Type of Business

Telephone

Dates Employed (From-To)

Job Title

Duties

Supervisor's Name

May we contact?

Yes

Reason for Leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.

Employer

Name

Address

Type of Business

Telephone

Dates Employed (From-To)

Job Title

Duties

Supervisor's Name

May we contact?

Yes

Reason for Leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.

Have you ever been terminated or asked to resign from any job?

Yes

Has your employment ever been terminated by mutual agreement?

Yes

Have you ever been given the choice to resign rather than be terminated?

Yes

REFERENCES [Optional]

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

NAME	POSITION	COMPANY	WORK RELATIONSHIP (i.e. supervisor, co- worker)	TELEPHONE

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

NAME	OCCUPATION	ADDRESS	TELEPHONE	NUMBER OF YEARS KNOWN

DRIVING INFORMATION [Optional]

(Complete only if driving is an essential function of the job for which you are applying).

Do you have a current valid driver's license?

Yes

License No

State

Expiration Date

If you do not have a driver's license for the state in which you currently reside, why not?

Has your license ever been suspended or revoked?

Yes

If Yes, explain

Do you have personal automobile insurance?

Yes

If No, explain

Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

Yes

If Yes, explain

Please list all moving traffic violations in the last five (5) years:

OFFENSE	DATE	LOCATION	COMMENTS