Ray Laks Family of Dealerships - Employment Application
Position Desired:
Personal Information
Are you under 18 years of age?
Are you under 16 years of age?
Full Name:
Phone No.:
ZIP:
Address - Street
City:
State:
How Long at
Present
Address?:
SSN:
Salary
Start          Final
Dates Employed
From              To
Experience (Provide most recent position first)
Company Name &
Address:
SupervisorName
/ Title
Positions Held:
May we Contact?
Describe
Your Duties:
Yes
No
Reason for
Leaving:
Salary
Start          Final
Dates Employed
From              To
Company Name &
Address:
SupervisorName
/ Title
Positions Held:
May we Contact?
Describe
Your Duties:
Yes
No
Reason for
Leaving:
Salary
Start          Final
Dates Employed
From              To
Company Name &
Address:
SupervisorName
/ Title
Positions Held:
May we Contact?
Describe
Your Duties:
Yes
No
Reason for
Leaving:
Salary
Start          Final
Dates Employed
From              To
Company Name &
Address:
SupervisorName
/ Title
Positions Held:
May we Contact?
Describe
Your Duties:
Yes
No
Reason for
Leaving:
Education
Graduated?        Major        Scholastic Avg
Name and Address of School
High School:

College:

Other:
Personal References (List the names of 3 persons, not relatives or former employers who have known you at least two years)
Name and Address:
Occupation:
Phone:
Desired Wage Desired: ($/hr)
Desired Hrs / Wk:
Date Available to Start:
Please Indicate Days & Times Available to Work:
Monday               Tuesday             Wednesday             Thursday               Friday                  Saturday               Sunday
Is Your Citizenship or Immigration status such that you can lawfully work in the U.S.?

(If hired, employment is conditional upon presentation of documentation establishing your identity and employment eligibility)
By checking the box below and clicking submit, I verify the information I am presenting in this application is true and correct to the best of my
knowledge and I understand that any falsification or misrepresentation herein could result in my discharge in the event that I am employed by Ray
Laks Honda / Acura.  I authorize Ray Laks Honda / Acura or its representatives to contact all former employers and to further inquire as to any
information given by me on this application.

I understand that if hired, I will not be employed for any specific time period and that I may resign or be terminated by Ray Laks Honda / Acura at
any time without notice or requirement of cause
I Agree: