Website Survey – Please rate your experience at Sapaugh Motors

Personal Information

* First Name:	* Last Name:
* Email:
* Day Phone:	Fax:
	* Preferred Contact:
* Address:
* City:	* State:	* ZIP Code:

Survey Questions

How long have you lived at the above address?

What position are you applying for?

Do you desire full time or part time?

Full Time Part Time

Have you worked for this company before? If so - please give dates and the position

Have you ever pled guilty, or no contest to, or been convicted of a felony? If yes, please give dates and details

Have you ever pled guilty, or no contest to, or been convicted of a misdemeanor resulting in inprisonment within the last 7 years? If yes, please give dates and details

Have you beed arrested for any matters for which you are out on bail or on your own recognizance pending trial? If yes, please give details

Please list the names of your present/previous employers in chronological order with your present/last employer first. Include address, time employed, salary, title, supervisor and reason you left

Have you ever been terminated or asked to resign from any job? If yes - please explain

Please explain fully any gaps in your employment history

May we contact your current employer? If no - please explain

Please indicate any actual experience, special training and qualifications that you have which you feel are relevant to the position to which you are applying

Have you ever used another name? Is there any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and educational record?

If hired, can you furnish proof that you are over 18 years of age?

Yes No

Please provide your educational background (to the highest level you have achieved). Please include years completed, diploma/degree, major course of study and and training received

* These fields are required

Sapaugh Motors a Herculaneum Buick, Cadillac, Chevrolet, GMC and and Pontiac dealer

Sapaugh Motors

1507 Mcnutt Street

Herculaneum, MO 63048

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