APPLICANT INFORMATION

Position Applying For: *
*Are you Currently Employed?
Yes
No

Desired Status

Part Time Hours (less than 30 Hrs per week)*
Yes
No
Full Time Hours (30 hours or more a week)*
Yes
No
Are you Available to Work? *
Weekends*
Yes
No
Evenings*
Yes
No
Overtime*
Yes
No
Can you work on Holidays?*
Yes
No
Are you eligible to work in the United States?*
Yes
No
Will you be in need of Sponsorship to Work in the United States?*
Yes
No
CV (doc, docx or pdf)

EMPLOYMENT HISTORY

Mention the last 3 jobs you've worked in

1
May we contact
Yes
No
2
May we contact
Yes
No
3
May we contact
Yes
No

EDUCATION

Did you Graduate High School? *
Yes
No
Did you get a Diploma or GED?
Yes
No
Dates Attended (mm/yyyy) *
Dates Attended (mm/yyyy) *

REFERENCES

Please List Three (3) Professional References

1
2
3

PERFORMANCE OF JOB RELATED FUNCTIONS

Are you able to perform the essential functions of the job for which you are applying for without reasonable accommodations? *
Yes No

U.S. SERVICE RECORD

Branch of the U.S. Military

Are you on Active Duty or Discharged?

HAVE YOU EVER APPLIED TO, OR WORKED FOR DON CARRO?

* Yes No

CRIMINAL MATTERS

Have you ever been convicted of (or pleaded guilty or nolo contendere) to a felony or misdemeanor, that has not been erased, expunged, impounded, or sealed by a court? (A charge will not necessarily disqualify an applicant) *
Yes No
If Yes, please explain the nature of the crime, when it occurred and any subsequent rehabilitation?

Non-Compete/ Non-Solicitation

Do you have any agreement with any former employer that limits your ability to compete with that employer, or solicit that employer’s customers and/or employees? *
Yes No
If yes, please provide a copy of that agreement.

If you possess any confidential information of any former employer, by signing below you represent that you will keep the information confidential and not use it in the course of working for CR-MPM LLC.,dba Don Carro.

REFERENCE FOR IDENTITY OF POSITION

Company Website*

CR-MPM, LLC, dba Don Carro prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, national origin, age, disability or genetic information, sexual orientation, gender identity or expressions, or veteran status. CR-MPM, LLC, dba Don Carro complies with all applicable federal, state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

DISCLAIMER & SIGNATURE

I certify the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior education and employment history.

I understand that employment at this company is “at will,” which means that either I or CR-MPM LLC., dba Don Carro can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on the basis.