Sargent's Stereo's Employment Application

Established in the stereo business in 1972, we are an equal opportunity employer, employment and
advancement are determined by a person's qualifications and abilities without regard to race, color,
creed, national origin, religion, age, sex, physical handicap, or martial status.

Application is for car stereo, car alarm and vehicle entertainment installer job
at Sargent's Stereo Super Store in Bend, Oregon. Proof of MECP certification
required within 90 days of employment.

This application must be completed by the applicant..

Date of application
Date available for employment
PERSONAL DATA
Last Name
First Name
Initial
Social Security #
Address
City
State
     Zip 
Telephone #
Email address (For Reference Purposes)
If employed and your are under 18, can you furnish a work permit?
 Yes No
When Employed
Have you been Convicted of a Felony? (Conviction will not automatically disqualify an applicant.  All relevant facts and circumstances will be considered.)
 Yes No
Nature of Offense?
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
 Yes No
EMPLOYMENT DATA
Will you accept Part-Time or Full-Time Employment? (Check one or both)
 Part-Time Full-Time
Are you willing to work Weekends and/or Holidays?
 Yes No
Position Desired (1)
Position Desired (2)
EDUCATION
High School Name
High School Address
Course of Study
Select Last Year Completed
 1 2 3 4
Did You Graduate?
 Yes No
College Name
College Address
Course of Study
Select Last Year Completed
 1 2 3 4
Did You Graduate?
 Yes No
List Diploma or Degree
Other (Specify) Name
Address
Course of Study
Did You Graduate?
 Yes No
List Diploma or Degree
EMPLOYMENT HISTORY

Please Begin with your present or most recent employer
Present or Last Employer
Address
City
State & Zip
 State Zip
Immediate Supervisor
Supervisor may be contacted
 Yes No
Phone Number of Supervisor
 Fax # 
Were you Full-Time or Part-Time
 Full-Time   Part-Time
Starting &  Final Salary
 Starting Salary Final Salary
Dates Employed
 From MO/YR To MO/YR
Your Title
Description of Duties
Reason for Leaving (optional)
Employer 2
Address
City
State & Zip
 State 
Immediate Supervisor
May we contact Supervisor
 Yes No
Phone # of Supervisor
 Fax # 
Were you Full-Time or Part-Time
 Full-Time   Part-Time
Starting & Final Salary
 Starting Final
Dates Employed From/To
 From Mo/Yr
Your Job Title
Description of Duties
Reason for Leaving (optional)
Employer 3
Address
City
State & Zip
 State Zip
Immediate Supervisor
May we contact Supervisor
 Yes No
Phone # of Supervisor
 Fax # 
Were you Full-Time or Part-Time
 Full-Time Part-Time
Starting & Final Salary
 Starting Final
Dates Employed From/To
 From Mo/Yr To Mo/Yr
Your Job Title
Description of Duties
Reason for Leaving (Optional)
Employer 4
Address
City
State & Zip
 State Zip
Immediate Supervisor
May we contact Supervisor
 Yes No
Phone # of Supervisor
 Fax # 
Were you Full-Time or Part-Time
 Full-Time Part-Time
Your Starting/Final Salary
 Starting Final
Dates employed From/To
 From Mo/Yr To Mo/Yr
Your Job Title
Description of Duties
Reason for Leaving (optional)
ADDITIONAL INFORMATION
Use this space if necessary, for additional information you want us to know in considering you for
 employment; specialized training or work experience.



EMPLOYMENT AGREEMENT
APPLICANT, PLEASE READ CAREFULLY BEFORE SIGNING.
I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever.

I understand that weekend work or changes of shifts may be required.  In addition, if accepted for employment, I hereby agree to abide by the rules and policies of my employer and accept the established pay period as provided in accordance with the fair labor standard act (as amended). I understand that this application is not and was not intended to be a contract of employment.

Employment is subject to: Being able to perform the essential job junctions with or without accommodations, satisfactory reference check and accuracy of all furnished pre-employment information.

I authorize past employers, schools or persons to release appropriate information regarding my past performance and release them from any and all liability which may result from furnishing such information.

I have carefully read and understand the above:
Signature of Applicant
Date Signed
Questionaire
How do you feel you can contribute?


What qualities do you see as your major strengths for the type of work for which you are applying?


What standards of personal appearance do you feel are important for an employees?


Do you feel you were treated fairly by your last employer?


From previous experience, what improvements would you like to see in management?


What traits or qualities do you admire in an immediate supervisor?


What traits or qualities do you not like to see in an employer?


What do you think your last employer will say about you in the reference check we make?


Do you agree with that?


Explain why being late or absent from your job causes problems for fellow employees.


Please consider the following list of personal habits for a moment. Rate yourself in each according to your typical performance on the job, at school, or as a homemaker 
(1-below average, 3-average, 5-above average).
Amount of work accomplished 1 2 3 4 5
Accuracy and thoroughness of work 1 2 3 4 5
Knowledge of job duties 1 2 3 4 5
Dependability 1 2 3 4 5
Treatment of others 1 2 3 4 5
Organization 1 2 3 4 5
Neatness of work 1 2 3 4 5
Personal appearance, hygiene 1 2 3 4 5
Initiative 1 2 3 4 5
Attendance 1 2 3 4 5
Cooperativeness 1 2 3 4 5
What do you think is the most important thing for any employee?


Hiring Authority (For Office Only Do NOT Fill In)
  Position _____________
Full-Time Part-Time 
 
Regular Temporary Irregular Rate of Pay  _________________________
  Non-Contract: Hourly Salaried 
______ Wage Class     _______ Salary Class
Exempt Non-Exempt Hours of Work _______________________
Approved by___________________________________ Date _______________
Approved by___________________________________ Date _______________
    Mailing Address: 

180 SE Third Street
Bend, OR 97702

[ Sargent's Stereo established in 1972 installs car stereo, remote starts, garmin navigation, car alarms and most 12v entertainment systems. Helpful links to carstereoinstall.net, caralarminstall.net, and carvideoinstall.net. For generations Sargent's Stereo has served the Central Oregon Comunity which includes Bend, Madras, Redmond, Prineville, Lapine, Sunriver, Powell Butte, and more. Thank you Central Oregon for your support. ] [About Us]