Gene's Powersports Country - Employment Form

Applicant Name
Date
Mailing Address
Are you a US Citizen?
What position(s) are you applying? Check all that apply
GPC is open from Tuesday to Friday 9:00 a.m. - 6:00 p.m. and Saturday 9:00 a.m. - 5:00 p.m. Will you be able to meet the attendance requirements?
Do have objections to working overtime if necessary?
Can you travel if required by this position?
Have you been previously employed by our company?
Can you provide proof of legal employment authorization and identity?
Have you ever been convicted of a crime in the last 7 years?

Employment History

Please provide information for your past three employers starting with the most recent.

Address
Employed From
Employed To
Address
Employed From
Employed To
Address
Employed From
Employed To

Educational History

Did you graduate?
Did you graduate?
Did you graduate?

Authorization

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information in this application form all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, ad using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made my me on this will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate that relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

Use your mouse or finger to draw your signature above
Date