MagnaFlow Performance Exhaust - Employment Application

*	First Name
*	Last Name
*	Present Address
*	City
*	State/Province
*	Zip/Postal Code
*	Primary Phone Number
	Secondary Phone Number
*	Email Address
	Website (optional)

*

Position applying for:

Explain position desired in more detail::

*

Why are you applying for work at CarSound/MagnaFlow?

*

Have you ever applied to or worked for CarSound/MagnaFlow before?

Yes

No

If yes, when?

*

Do you have any friends or relatives working for CarSound/MagnaFlow?

Yes

No

If yes, state name(s) and relationship:

*

If hired, would you have a reliable means of transportation to and from work?

Yes

No

*

Are you at least 18 years old?
( If under 18, hire is subject to verification that you are of minimum legal age.)

Yes

No

*

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?

Yes

No

*

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes

No

If no, describe the functions that cannot be performed.

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

*

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Conviction for marijuana-related offenses that are more than two years old need not be listed.)

Yes

No

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered.)

	List below all present and pst employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume.

1)	Name of Employer		Telephone No.
	Type of Business		Supervisor's Name
	Address
	Dates of Employment	From	To
	Weekly Pay
	Your Position & Duties
	Reason for Leaving
	May we contact this employer for a reference?			Yes	No

2)	Name of Employer		Telephone No.
	Type of Business		Supervisor's Name
	Address
	Dates of Employment	From	To
	Weekly Pay
	Your Position & Duties
	Reason for Leaving
	May we contact this employer for a reference?			Yes	No

3)	Name of Employer		Telephone No.
	Type of Business		Supervisor's Name
	Address
	Dates of Employment	From	To
	Weekly Pay
	Your Position & Duties
	Reason for Leaving
	May we contact this employer for a reference?			Yes	No

4)	Name of Employer		Telephone No.
	Type of Business		Supervisor's Name
	Address
	Dates of Employment	From	To
	Weekly Pay
	Your Position & Duties
	Reason for Leaving
	May we contact this employer for a reference?			Yes	No

5)	Name of Employer		Telephone No.
	Type of Business		Supervisor's Name
	Address
	Dates of Employment	From	To
	Weekly Pay
	Your Position & Duties
	Reason for Leaving
	May we contact this employer for a reference?			Yes	No


* Education, Training & Experience

	High School	Did you graduate?	Yes	No
	College/University	Did you graduate?	Yes	No
	Vocational/Business	Did you graduate?	Yes	No

* References

1)	Name	Phone Number
2)	Name	Phone Number
3)	Name	Phone Number


* Please Read Carefully, Initial Each Paragraph and Check the Appropriate Boxes

Please make a selection.	I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or for any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

Please make a selection.	I hereby authorize CarSound/MagnaFlow to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to CarSound/MagnaFlow any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release CarSound/MagnaFlow, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Please make a selection.	I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and CarSound/MagnaFlow. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or CarSound/MagnaFlow and that no promises or representations contrary to the foregoing are binding on CarSound/MagnaFlow unless made in writing and signed by me and CarSound/MagnaFlow's designated representative.

Please make a selection.	Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by CarSound/MagnaFlow, I am entitled to copies of any such public records obtained by CarSound/MagnaFlow unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
		I waive receipt of a copy of any public record described in the paragraph above.