Rocky Mountain ATV/MC APPLICATION FOR EMPLOYMENT

Rocky Mountain ATV/MC
APPLICATION FOR EMPLOYMENT
Pre-Employment Questionnaire Equal Opportunity Employer
Personal Information
Date
Name (Last Name First)
Present Address City State Zip Code
Permanent Address City State Zip Code
Phone NO.
Referred By
Employment Desired
Position Date You Can Start Salary Desired
Are you
Employed YES NO
Ever applied to
this company before YES NO
If so, may we inquire
Of your present employer YES NO
Where
When
Education History
Name & Location of School
Years
Attended
Did you
Graduate
Subjects
Studied
Grammar School
High School
College
Trade, Business or
Correspondence
School
General Information
Subjects of special study/research
Work or special training/skills
U.S Military or Navy Service
Rank:

Former Employers (List below last four employers, starting with last one first)
Date
Month & Year Name & Address of Employer Salary Position Reason for Leaving
From
To
From
To
From
To
From
To
References Give below the names of three persons not related to you, whom you have known at least one year.
Name Address Business Years
Known
Criminal Record
Have you been convicted of, pleaded guilty to, or pleaded no contest to, an act of
dishonesty, or breach of trust or moral turpitude, such as misdemeanor petty theft,
burglary, fraud, writing bad checks, and other related crimes within the last five (5)
years* Yes: ________ No: _________
If yes, please explain: ____________________________________________________
______________________________________________________________________
*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily
disqualify you from the job for which you are applying, but may disqualify you from
certain jobs. Each conviction or plea will be considered with respect to time, job
relatedness, and other relevant factors.
Verification and Authorization
I declare the information provided by me in this application is true, correct, and complete
to the best of my knowledge. I understand that if employed, any falsification,
misstatement, or omission of fact in connection with my application, whether on this
document or not, may result in immediate termination of employment. I authorize Rocky
Mountain ATV to conduct a background investigation including but not limited to
verifying any and all information provided above, and further authorize the release of
information by third parties to Rocky Mountain ATV.
I acknowledge my understanding that a background investigation may include obtaining
information pertaining to any past criminal or civil convictions, my credit rating and

eport, my motor vehicle report (driving records), as well as contacting previous
employers. I understanding and agree that Rocky Mountain ATV will consider any
information obtained while reviewing my qualifications for employment.
I acknowledge my understanding that in order to be considered for employment, I must
submit to and successfully complete a pre-employment drug & alcohol screening test. By
signing below I acknowledge my receipt of a copy of Rocky Mountain ATV’s Drug &
Alcohol Policy and agree to submit to a pre-employment drug & alcohol screening test as
set forth therein, as well as my agreement to all other terms and conditions thereof.
I understand that this employment application and any other documents provided by
Rocky Mountain ATV, including but not limited to the Employee Handbook, are not
contracts of employment and that any employment with Rocky Mountain ATV is and
will be considered “At Will.”
_____________________________________
Signature
__________________________
Dated:
_____________________________________
Printed Name