Employment Application

An Equal Opportunity Employer

Custom Golf Car Supply does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veteran status. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

Date of Appliaction *

Personal Information

First Name

Last Name

Middle Name or Initial *

Present Address:

Streed Address

City

State / Province / Region

Zip / Postal Code

Daytime Telephone #

Evening Telephone #

Cell Phone # *

Please Select Your Preferred Contact Method

Daytime Telephone #
Evening Telephone #
Cell Phone #

Email *

Position Applying For *

Date available for work: *

Starting Wage You Require: *

Are you authorized to work in the USA and can provide proof of work eligibility? *

Have you ever been employed by Custom Golf Car Supply or Custom Plastic Forming before? *

List the names of friends or relatives employed by Custom:

Education History

Name and Location of School

Years Attended

Did You Graduate?

Subjects Studied

High School Name:

High School Years Attended

Did You Graduate High School?

High School Subjects Studied

College Name:

College Years Attended

Did You Graduate College?

College Subjects Studied

Trade/Business School Name:

Trade/Business School Years Attended

Did You Graduate Trade/Business School?

Trade/Business School Subjects Studied

Military Service:

Military Service Years

Military Service Position

Military Service Position (copy)

Additional Training and Skills

Please list any machines or equipment you can operate (such as forklifts, production machinery, hand tools, etc. ) which would be relevant to the position for which you are applying:

Please list any additional training or skills (such as seminars, training, computer skills, etc.) which would be relevant to the position for which you are applying:

Employment History

Employer:

Employer Full Address

Street Address

City

State / Province / Region

Zip / Postal Code

Type of Business:

Employer Telephone Number:

May We Contact For Reference Now?

Immediate Supervisor:

(Give name, title, and supervisor’s direct phone number)

Date Employed From:

Date Employed To:

Job Titles Held:

(Please separate with commas)

Starting Salary:

Final Salary:

Summarize the nature of your work and responsibilities:

Reason For Leaving:

Employer:

Employer Full Address:

Street Address

City

State / Province / Region

Zip / Postal Code

Type of Business:

Employer Telephone Number:

May We Contact For Reference Now?

Immediate Supervisor:

(Give name, title, and supervisor’s direct phone number)

Date Employed From:

Date Employed To:

Job Titles Held:

(Please separate with commas)

Starting Salary:

Final Salary:

Summarize the nature of your work and responsibilities:

Reason For Leaving:

Employer:

Employer Full Address:

Street Address

City

State / Province / Region

Zip / Postal Code

Type of Business:

Employer Telephone Number:

May We Contact For Reference Now?

Immediate Supervisor:

(Give name, title, and supervisor’s direct phone number)

Date Employed From:

Date Employed To:

Job Titles Held:

(Please separate with commas)

Starting Salary:

Final Salary:

Summarize the nature of your work and responsibilities:

Reason For Leaving:

Have you ever been fired from a job or asked to resign (not including layoffs)? *

Please Explain:

Resume

Drop your file here or click here to upload

Certificate of Application

I have read and fully understand the questions asked in this application. I certify that all answers given by me are true, accurate and complete. I understand that the omission and/or misrepresentation of any fact from this application or during any interview will be grounds for refusal to hire or immediate dismissal if I have obtained employment with the Company, regardless of when such omission/misrepresentation is discovered. I authorize Custom Golf Car Supply Inc. to conduct an investigation of statements made on this application and my background as it relates to my employment. I release all parties from any possible damages resulting from disclosing factual information with or without prior notice to me. I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without cause and with or without notice. I have read, understand, and by my signature consent to these statements.

Date: *

Signature *

Name