Rocky Mountain ATV/MC APPLICATION FOR EMPLOYMENT

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