Employment Application Step 1 of 5 20% Your Personal InformationYOUR NAME(Required) First Last YOUR EMAIL ADDRESS(Required) Enter Email Confirm Email YOUR PHONE(Required)ADDRESS Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands BEST TIME TO CALL YOURWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly EveningARE YOU LEGALLY AUTHORIZED TO WORK IN THE U.S.?(Required)(IF HIRED YOU WILL BE REQUIRED TO PROVIDE PROOF OF WORK AUTHORIZATION) Yes No ARE YOU AT LEAST 18 YEARS OLD?(Required)(IF NOT YOUR EMPLOYMENT WILL BE SUBJECT TO VERIFICATION THAT YOU MEET STATE/FEDERAL MINIMUM AGE REQUIREMENTS FOR THE TYPE OF WORK YOU ARE APPLYING FOR AND HAVE OPTAINED A VALID WORK PERMIT) Yes No HAVE YOR EVER PLEAD "GUILTY" OR "NO CONTEST" OR BEEN CONVICTED OF A CRIME?(Required)IF YES, PLEASE EXPLAIN 1) NATURE OF CRIME 2) DATE OF CONVICTION AND 3) STATE AND COUNTY IN WHICH CONVICTED. (A CONVICTION WILL NOT NECESSARLITY BAR YOU FROM EMPLOYMENT. YOU SHOULD NOT DISCLOSE ANY INFORMATION REGARDING CRIMINAL RECORDS THAT HAVE BEEN SEALED) Yes No Please Explain(Required)ARE YOU ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING (WITH OR WITHOUT REASONABLE ACCOMMIDATION)?(Required)THIS QUESTION IS NOT DESIGNED TO ELICIT INFO ABOUT AN APPLICANT'S DISABILITY. PLEASE DO NOT PROVIDE INFORMATION ABOUT THE EXISTENCE OF A DISABILIY, PARTICULAR ACCOMMODATION, OR WHETHER ACCOMMODATION IS NECESSARY. THESE ISSUES MAY BE ADDRESSED AT A LATER DATE TO THE EXTENT PERMITTED BY LAW. Yes No More Info (MORE INFORMATION ABOUT THE JOB'S "ESSENTIAL FUNCTIONS" TO RESPOND) HAVE YOU EVER APPLIED AT REITMAN AUTO PARTS & SALES BEFORE?(Required) Yes No ARE YOU RELATED TO ANY REITMAN EMPLOYEES? Yes No When(Required) IF SO, WHO?(Required) WILL YOU TRAVEL IF JOB REQUIRED IT?(Required) Yes No WILL YOU WORK OVERTIME IF REQUIRED?(Required) Yes No DO YOU CONSENT TO A PRE-EMPLOYEMENT DRUG SCREENING?(Required) Yes No DO YOU CONSENT TO A CRIMINAL BACKGROUND CHECK?(Required) Yes No Position You're Applying ForPOSITION APPLYING FOR WHEN CAN YOU START(Required) MM slash DD slash YYYY PART TIME OR FULL TIME(Required) Part-Time Full-Time HOURS YOU ARE AVAILABLE TO WORKMondayTuesdayWednesdayThursdayFriday Add RemoveDESIRED COMPENSATIONHOW MUCH DO YOU WANT TO MAKE PER HOUR HOW WERE YOU REFERRED TO THE COMPANYFRIEND, ADVERTISEMENT, INTERNET SEARCH, ETC. Previous EmploymentYOUR PREVIOUS EMPLOYERPlease list your previous employers, the dates you worked and the position you heldEmployerDatesPositionPhone Add Remove EducationHIGH SCHOOL NAME DID YOU GRADUATE? Yes No COLLEGE NAME DID YOU RECEIVE A DEGREE? Yes No WHAT FIELD OF STUDY? TRADE SCHOOL NAME DID YOU RECEIVE A DEGREE OR CERTIFICATION? Yes No WHAT WAS YOUR DEGREE OR CERTIFICATION IN? OTHER INFORMATION ABOUT YOUR EDUCATION OR EXPERIENCE THAT MAY BE RELEVANTUpload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Required License(s)IF REQUIRED TO DRIVE A MOTOR VEHICLE FOR THE JOB APPLYING FOR, STATE YOUR:LICENSE # STATE EXPIRATION DATE MM slash DD slash YYYY VEHICLE REGISTRATION # STATE EXPIRATION DATE MM slash DD slash YYYY ReferencesPLEASE LIST 3 REFERENCESNAME PHONERELATIONSHIP NAME PHONERELATIONSHIP NAME PHONERELATIONSHIP Consent & SignatureTerms and Conditions(Required)I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of employment. I agree to the terms and conditions.SIGNATURECAPTCHA
