Employment

- Car Parts Warehouse is an Equal Opportunity Employer.
- Car Parts Warehouse is Level One with BWC and can Drug Test new hires.
- Attendance is an ESSENTIAL function of employment at Car Parts Warehouse.
- Any falsification on the employment application can result in termination.
- Employee must maintain a professional appearance and meet company dress code.
- Work schedule may include weekends.
Please complete in full -- even if resume is attached
Position Applying*

Legal Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Soc. Security #
Email*
Telephone
Cell Phone*
Have you been previously employed by Car Parts Warehouse?*
- Yes
- No
If yes, at which store, in what year?
If hired, can you furnish proof that you are legally permitted to work in the USA?*
- Yes
- No
Have you ever been convicted of a crime other than a minor traffic violation?*
- Yes
- No
“While a criminal conviction does not necessarily preclude employment with Car Parts Warehouse, Inc., any offer of employment will be contingent on the results of a background check.”
If "Yes", when and where? City / State / Year*
Have you ever initiated an act of violence in the work place?*
- Yes
- No
If "Yes", please explain.*
Do you have relatives employed by Car Parts Warehouse?*
- Yes
- No
Were you referred by a current employee?*
- Yes
- No
Name of current employee who referred
How did you learn of the position?
Pay Expected:*
Geographic Preference?*
Date you can begin work?
MM slash DD slash YYYY
Seeking
- Full time
- Part Time
Hours Available to work:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday
Please list any skills or special training you have (ex., automotive, computer etc)
List any languages, other than English, that you can speak/write fluently
Education
High School Name/Location, Area of Study, # of Years Degree
College/Trade Name/Location, Area of Study, # of Years Degree
Other:
Reference
Provide three references other than relatives
References 1 Name
References 1 Relationship
References 1 Phone:
References 1 Organization:
Reference2
References 2 Name
References 2 Relationship
References 2 Phone:
References 2 Organization
Reference3
References 3 Name
References 3 Relationship:
References 3 Phone:
References 3 Organization:
Employment History
Indicate your last three employers; begin with your MOST RECENT employer. Military personnel should list permanent changes (PCS) separately in the blocks below.
May we contact your present employer?*
- Yes
- No
Have you ever been terminated or asked to resign from a position?
- Yes
- No
Company 1 Name
Company 1 Phone
Company 1 Address
Street Address City State ZIP Code
Dates Employed from (Mth / Year)
Job Title
Supervisor's Name
Are you eligible for rehire?
- Yes
- No
Responsibilities:
Reason for leaving:
Employment History2
Company Name
Company Telephone:
Company Address
Street Address City State ZIP Code
Dates Employed from (Mth / Year) to (Mth / Year)
Job Title
Supervisor's Name
Are you eligible for rehire?
- Yes
- No
Responsibilities:
Reason for leaving:
Employment History3
Company Name:
Company Telephone:
Company Address
Street Address City State ZIP Code
Dates Employed from (Mth / Year): from
Job Title
Supervisor's Name:
Are you eligible for rehire?
- Yes
- No
Responsibilities:
Reason for leaving:
Driving Records
All applicants must complete this section.
Do you have a valid driver's license?
- Yes
- No
If yes, is it valid for commercial delivery in Ohio?
- Yes
- No
License # Class:
License State:
Has it ever been suspended?
- Yes
- No
List all moving violations in the last three years: List all accidents in the last three years:
Violation Date:
Convicted
- YES
- NO
Type of Violation Convicted
Date: Accient
Describe Accident
Summary
Must be signed at the bottom

Car Parts Warehouse makes every reasonable effort to accommodate individual preferences when possible, however business needs and customer demands at times make the following conditions mandatory; overtime, shifts work a rotating schedule other than Monday through Friday. I understand these conditions and , if employed, I agree to accept them as conditions of my continuing employment.

I hereby agree and understand that as a condition of employment or continued employment, I may be required by the company to submit to a physical examination, drug testing, or other tests, a search or examination of myself or personal properly while on the company's premises or while conducting business elsewhere, if such is not prohibited by application law.

If employed, I agree to abide by the directives, rules and regulations of CPW both present and future. I understand that the employment is for no definite period of time and may be terminated by CPW with or without cause or notice at any time. I further understand that no representative of the company has the authority to enter into any employment agreement contrary to the following.

I certify that my application for emloyment is true and complete, and I understand that, if employed, false or omitted statements on this application or any other company documents will subject me to dismissal. I understand that an investigative consumer report involving information concerning my character, employment history, general reputation, police record, and personal habits, maybe obtained prior to any offer of employment. Upon timely written request to CPW's Human Resources Dept. the name and address of the reporting agency will be disclosed to me. It is understand that completion of this application does not mean a job opening exists and in no way obligates CPW to employ me. I further authorize contracted persons and former employees to provide information concerning this application, my background and suitability for employment and I release such persons and former employers from liability for providing such information.
Signature of applicant:
Date
Name of Applicant:
Applicant's Address
Street Address City State ZIP Code
Applicant's Former Address
Street Address City State ZIP Code
Date of Birth
MM slash DD slash YYYY
Social Security #
License#
for purposes of investigation as required by Section 391.2 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.
Applicant Signature:
Date
Employer:
1. In accordance with the provisions of Section 604 and Section 607 of the Fair Credit Reporting Act, Public Law No. 91-508. I hereby certify that the information requested will be used for a "permissable purpose" as defined in the Act, and that the information will be used for no other purpose.
2. I further certify that if the applicant named above is denied employment based upon the information received, I will indentify the source of the report in accordance with Section 616 (a) of the Fair Credit Reporting Act.
Requested by:
Car Parts Warehouse
18525 Miles Rd.
Warrensville Heights, OH 44128
Typed Name:
Title
Signature:
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Position Openings

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Car Parts Warehouse Employment Application

Step 1 of 3

Please complete in full -- even if resume is attached

Education

Reference

Reference2

Reference3

Employment History

Employment History2

Employment History3

Driving Records

Summary

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