employment

Employment Application

Personal Information

First Name

Middle Name

Last Name

Current Address (Street, City, State, Zip)

Phone Number

Email

Date of Birth (Month, Day, Year)

Marital Status (Single, Married, Divorce)

Employment History

Employed from:

Select a date

Employer Name

Supervisor Name

Employed until:

Select a date

Employer Address

Phone #

Job Title

Duties & Responsibilities

Reason for Leaving

May we contact your current employer for references?

Yes No

Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation?

Yes No

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or seals by court? (A “yes” response does not automatically disqualify your application)

Yes No

Position Applying

Shop Applying

Cordova Auto Center #1 Cordova Auto Center #2 Cordova Auto Center #4 Cordova Auto Center #5

As an equal opportunity employer, Cordova Auto Centers does not discriminate in hiring or in terms and conditions of employment because of an individual’s race, creed, color, sex, age, disability, sexual orientation, national origin, or other protected characteristics.

If hired, you must furnish, on your first day of work, the appropriate documents that validate that you are legally eligible to work in the United States of America. We E-Verify.