Employment Application If you have a passion for people, a desire to reach your potential and interest in becoming part of a team that serves something bigger, then we’re looking for you! Step 1 of 6 16% Name* First Middle Last Address* Street Address Apartment / Unit # City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneAlternate/Cell/Work PhoneEmail* Employment PreferencesPlease place a check by your response or provide the appropriate informationWhat position are you applying for?*Select the position...Branch Operations Manager - General ManagerEquipment Installer - AutomotiveField Service DirectorOutside Sales Territory ManagerParts Specialist & Service SupervisorProject Manager ConstructionProject Superintendent ConstructionSales AdministratorSenior Project ManagerService Technician - AutomotiveWhat type of employment are you interested in?Full-time, Part-time or TempFull-timePart-timeTemporaryWhat schedule would you prefer?*Select all that apply. Weekdays Weekends Evenings NIghts When are you able to start work?* MM slash DD slash YYYY In what local area do you prefer to work?*Select your area...Charlotte, NCDallas, TXFort Myers, FLJacksonville, FLNashville, TNOrlando, FLTampa, FLWest Palm Beach, FLHow did you hear about the position?*Select one...Classified AdFriendRadioInternetWhat's your Friend's name?* Employment StatusPlease check yes or no to the following:Are you authorized to work in the United States?*Yes or NoYesNoFederal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Automotive Development Group, Inc. will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant's identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.Are you under 18 years of age?*Yes or NoYesNoCan you furnish a work permit?*Yes or NoYesNoAutomotive Development Group, Inc. is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age or military or veteran status in accordance with federal law. In addition, Automotive Development Group, Inc. complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. Automotive Development Group, Inc. also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation?*Yes or NoYesNo Tell us about your most recent jobFrom MM slash DD slash YYYY To MM slash DD slash YYYY Company Name Your Position and Title Supervisor's Name, Title and Position Supervisor's Telephone NumberCompany Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Business Telephone NumberStarting PayFinal PayTerminationVoluntary or InvoluntaryVoluntaryInvoluntaryReason Briefly Describe Your Major Duties and Reason(s) for TerminationDo you have another job you would like to tell us about?YesNo Add Another JobFrom MM slash DD slash YYYY To MM slash DD slash YYYY Company Name Your Position and Title Supervisor's Name, Title and Position Supervisor's Telephone NumberCompany Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Business Telephone NumberStarting PayFinal PayTerminationVoluntaryInvoluntaryReason Briefly Describe Your Major Duties and Reason(s) for TerminationDo you have another job you would like to tell us about?*Yes or NoYesNo Add One More JobFrom MM slash DD slash YYYY To MM slash DD slash YYYY Company Name Your Position and Title Supervisor's Name, Title and Position Supervisor's Telephone NumberCompany Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Business Telephone NumberStarting PayFinal PayTerminationVoluntaryInvoluntaryReason Briefly Describe Your Major Duties and Reason(s) for Termination Unemployed InformationAccount for all periods of time, three months or more, between positions held or after schoolFromToHow did you spend this time? EducationPlease list your High School, Technical, College, University or any other education you have obtained.*School NameMajor SubjectDid you graduate?Type of Degree/Diploma Professional LicensesDo you have any Professional Licenses you would like to share?Type of LicenseState Granting LicenseLicense Number Please read the following information carefullyIN THE LAST SEVEN (7) YEARS, HAVE YOU BEEN CONVICTED OF OR HAVE YOU PLEADED GUILTY TO ANY FELONY OR MISDEMEANOR?*Please exclude minor traffic offenses and convictions which have been sealed, impounded, erased, expunged, annulled or nolled.Yes or NoYesNoReferencesPlease list three professional references.Reference #1*NameRelationshipCompanyPhoneReference #2*NameRelationshipCompanyPhoneReference #3*NameRelationshipCompanyPhoneResume*Please attach your current resume. Drop files here or Select files Max. file size: 64 MB. Please read carefully before signing applicationI have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application. My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company’s employ. I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking. I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be “at will” and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company’s part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees. References: I hereby authorize the company and its agents to make such investigations and inquires into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications. Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has endedSignature* 69936