Phone: 866-800-1100

5240 Golf Road

Skokie, Illinois 60077

5240 Golf Road Skokie, Illinois 60077 Phone:866-800-1100 Fax:847-965-3467

We are 100% committed to your satisfaction At Martin Nissan, we want you to be a customer for life,. We always go above and beyond expectations to earn your business, and we are always available to assist you. Whether you are looking for a new or pre-driven vehicle we are ready to get you behind the wheel of your dream car! Visit our Nissan dealership today and experience the qualities that separate Martin Nissan from other dealers.

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Martin Nissan Employment Application

PLEASE COMPLETE ALL QUESTIONS

Martin Nissan, Inc and its Clients fully subscribe to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans with Disabilities Act, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants in order that they may be given a full and fair opportunity to be considered for employment. As Equal Opportunity Employers, we intend to comply fully with the applicable federal and state employment laws and the information requested on this application will only be used for purposes consistent with those laws. Applications are only accepted for positions currently available and will only be considered for thirty (30) days from today’s date or until the position applied for is filled, whichever first occurs.

Position Applied For:

Date:

Personal Data

Last Name:

First Name:

Middle Name:

Street:	City:
State:	Zip Code:
Phone: -- Ext.	Email:

If you are under 18 years of age, please specify your age here
This information will be used for child labor law purposes
Are there any days, shifts, or hours you will not work?		Yes: NO:
If yes, please explain:

Are you available for out of town work?		Yes: NO:
Will you work overtime, if required?		Yes: NO:
When will you be able to start work?
Have you taken any illegal drugs in the last 30 days?		Yes: NO:
Have you ever been a defendant in a civil action for an intentional tort (intentional commision of a wrongful act)?		Yes: NO:
Note: Answering "yes" does not automatically exclude you from further consideration for the position.
If yes, include nature of the intentional tort and the disposition of the action
How did you learn of our Company?
If referred, who were you referred by?
Are you legally authorized to work in the United States?		Yes: NO:
Will you now or in the future require sponsorship for employment visa status (e.g., H_1B visa status)?		Yes: NO:
Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Emplymoent Eligibility Verification "Form I-9" be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation extablishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.
Driving Record (Answer only if driving is a requirement of the job for which you are applying)
Do you have a valid drivers license?	Yes: NO:	State:	License No.:
Have you had any tickets?		Yes: NO:
If yes, please explain:
Has your license ever been suspended or revoked?		Yes: NO:
If yes, please explain:
Do you have any DUI or DWI convictions?		Yes: NO:
If yes, please state when you were convicted and explain:

Residences: (Please provide the addresses of your last three residences beginning with the most recent address.)
Residence 1
Street Address	City, State, and Zip Code

From	To


Residence 2
Street Address	City, State, and Zip Code

From	To


Residence 3
Street Address	City, State, and Zip Code

From	To

Education: (May or may not be considered depending on job applied for) Describe any educational degrees, skills, training, or experience you believe are relevant to the job applied for:
High School
Name, City, and State of Educational Institution		Graduated
		Yes: NO:
Date Grduated		Grade Point/Overall GPA


College or University
Name, City, and State of Educational Institution		Graduated	If no Degree, Credits earned
		Yes: NO:
Type of Degree Received or Expected	Major	Minor	Grade Point/Overall GPA


Technical/GED
Name, City, and State of Educational Institution		Graduated	If no Degree, Credits earned
		Yes: NO:
Type of Degree Received or Expected	Major	Minor	Grade Point/Overall GPA


Licenses/Certifications/Other
Name, City, and State of Educational Institution		Graduated	If no Degree, Credits earned
		Yes: NO:
Type of Degree Received or Expected	Major	Minor	Grade Point/Overall GPA

Employment History
Company 1
Company Name:
Address:
Telephone #:
Dates Employed From To
Name of Supervisor:
May we contact?Yes: NO:
Rate of Pay Start End
State job titles and describe job duties:

Reason For Leaving:


Company 2
Company Name:
Address:
Telephone #:
Dates Employed From To
Name of Supervisor:
May we contact?Yes: NO:
Rate of Pay Start End
State job titles and describe job duties:

Reason For Leaving:


Company 3
Company Name:
Address:
Telephone #:
Dates Employed From To
Name of Supervisor:
May we contact?Yes: NO:
Rate of Pay Start End
State job titles and describe job duties:

Reason For Leaving:


Company 4
Company Name:
Address:
Telephone #:
Dates Employed From To
Name of Supervisor:
May we contact?Yes: NO:
Rate of Pay Start End
State job titles and describe job duties:

Reason For Leaving:

References: (Please list three persons not related to you who know your qualifications)
Reference 1
NAME:
ADDRESS:
PHONE:
RELATIONSHIP:

Reference 2
NAME:
ADDRESS:
PHONE:
RELATIONSHIP:

Reference 3
NAME:
ADDRESS:
PHONE:
RELATIONSHIP:

Reference 4
NAME:
ADDRESS:
PHONE:
RELATIONSHIP:

Please explain any gaps in your employment history.

Have you ever been discharged or forced to resign?	Yes: NO:
If yes, explain:

Were you given a performance evaluation within the last 12 months of active employment?	Yes: NO:
If yes, what was the range of scores used and what was you score?

Have you signed any non-compete or non- solicit agreement with any other employer that might restrict you from working for this company?	Yes: NO:
If yes, please explain:

(You may be required to furnish a copy of the agreement)

Military Service: (Complete only if you served in the military)
Branch of Service:
Number of Years/Months of Service:
Rank at Discharge:
Date of Discharge:
Reason for Leaving:
Describe any military skills, training or experience you believe are relevant to job applied for:

5240 Golf Road Skokie, Illinois 60077

Martin Nissan Employment Application

PLEASE COMPLETE ALL QUESTIONS

Personal Data

Driving Record

Residences:

Education:

Employment History

References:

Military Service: