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Application for Employment


Olympus Imported Auto Parts Corporation complies with the law regarding reasonable accommodation for disabled employees. Applicants requiring reasonable accommodation in order to participate in the interview process are requested to contact the company's Controller in order to arrange such accommodation. We are an equal opportunity employer and always employ qualified individuals based upon job related qualifications regardless of race, religion, color, sex, national origin, age, disability, or any other classification proscribed under applicable federal, state or local law.

GENERAL INFORMATION:

Please provide your general information below.
* Position applied for:
* Date of Application:
* Location Applying for:
Referred By:
* Date you Can Start:
* Pay Rate Expected:

PERSONAL INFORMATION:

 
Please provide your personal information below.
* Last Name:
* First Name:
* Middle Name:
* Address:
Address 2:
* City:
* State:
* Zip Code:
* Home Telephone:
* Work Telephone:
Email Address:
* Social Security Number:
* Have you ever been employed
with us before?
If Yes, give dates:
What is the best way for us
to contact you?:

EMPLOYMENT HISTORY:

 
Please provide information concerning your work history by filling this section out completely. Start with your present or most recent employer. Military experience may be included.


JOB #1

  
* Company Name:
* Company Address:
* Company Telephone:
* Dates Employed (from/to):
 From:    To:
* Name of Supervisor:
* Starting Pay Rate:
* Ending/Current Pay Rate:
* State Job Title and
Describe your work:
* Reason for leaving:


JOB #2

  
Company Name:
Company Address:
Company Telephone:
Dates Employed (from/to):
 From:    To:
Name of Supervisor:
Starting Pay Rate:
Ending/Current Pay Rate:
State Job Title and Describe your work:
Reason for leaving:


JOB #3

  
Company Name:
Company Address:
Company Telephone:
Dates Employed (from/to):
 From:     To:
Name of Supervisor:
Starting Pay Rate:
Ending/Current Pay Rate:
State Job Title and Describe your work:
Reason for leaving:


JOB #4

  
Company Name:
Company Address:
Company Telephone:
Dates Employed (from/to):
 From:    To:
Name of Supervisor:
Starting Pay Rate:
Ending/Current Pay Rate:
State Job Title and
Describe your work:
Reason for leaving:

EMPLOYMENT HISTORY CONTINUED...
* Please explain any time
between jobs:
* Are you willing to
work overtime?
* Are you willing to
work weekends?
* Are there any hours you
are not available?

EDUCATION/TRAINING INFORMATION:
Please provide information concerning your education/training information by filling this section out completely. Start with your highest level of education.


School #1

  
* Name of School:
* City and State of School:
* Course of Study:
* # of Years Attended:
* Degrees or Certifications:


School #2

  
Name of School:
City and State of School:
Course of Study:
# of Years Attended:
Degrees or Certifications:

OTHER INFORMATION

* Have you been convicted of a crime or misdemeanor (excluding minor traffic violations) in the last 7 years?
If yes, please describe briefly:
(The existence of a criminal conviction does not constitute an automatic bar to employment. Convictions will only be considered in relation to specific job requirements.)

* If a job is offered, will you be able to provide verification of your legal right to work in the United States

CERTIFICATION OF INFORMATION

I understand that if I am employed, any misrepresentation or omission made by me on this application or during interviews will be sufficient cause for cancellation of this application or immediate discharge from the employer’s service, whenever it is discovered. I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. I understand that I shall be required to provide documentation establishing my legal authorization for employment prior to commencing work. I understand that this Application for Employment is not intended to be nor constitutes an agreement for employment. If I am hired, I understand that I do not have a contract for employment, that I may terminate my employment at any time with or without cause or notice, and that the Company may terminate my employment at any time with or without cause or notice. I further understand that no manager or other representative of Olympus, other than the Company President, has any authority to enter into any employment agreement on behalf of the Company for a specific time period. Any such agreement will be unenforceable unless it is an express written employment contract signed by Olympus’ President. Olympus Imported Auto Parts Corporation is an Equal Opportunity Employer, and shall treat all applicants for employment equally and fairly based upon job related qualifications and in accordance with all applicable local, state and federal laws. If I am hired, I understand that I will be responsible for adhering to the policies and procedures prescribed in the Company’s Employee Handbook and the Safety and Loss Control Program.
* I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
Yes

COMPLETE THIS SECTION ONLY IF YOU ARE APPLYING FOR
A DELIVERY OR WAREHOUSE POSITION

How long have you lived in the Washington Metropolitan area?

Do you operate a motor vehicle
on a daily basis?

Do you know how to operate a
standard shift vehicle?

Have you ever owned a
standard shift vehicle?

In what states are you
currently licensed:
(Hold down the CTRL button
to pick multiple states)

Have you been licensed in any other states in the last 5 years?

 Yes

If yes, list states & license numbers

Are you experienced in driving in inclement weather?

Are you taking any medication which would prevent you from safely operating a motor vehicle with or without a reasonable accommodation?

Are you able to lift 40 lbs. (75 lbs. for warehouse) with or without a reasonable accommodation?
Have you been convicted of any traffic violations in the last 5 years?
If yes, please describe
Have you ever had your licenses suspended or revoked?

PLEASE ANSWER THE BELOW QUESTION BEFORE CONTINUING

* The information provided above is true, correct, and complete.  If employed, any misstatements or omission of fact on this application may result in my dismissal. If  I am hired, I understand that I will be responsible for learning and adhering to the policies and procedures prescribed in the Company’s Driver Policies and Procedures Manual.

I Agree