Countryside RV & Trailer Sales

Application for Employment

It is our policy to provide equal opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental handicap, or veteran status.

Name: Last: First: MI:
Street Address:
City: State: Zip:
Telephone:
Position Applied For:
How did you hear of this opening:
When can you start: Desired Wage:
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?
Are you looking for full time employment?
If no, what hours are you available?
Are you willing to work swing shift?
Are you willing to work graveyard?
Have you ever been convicted of a felony?
If yes, please full describe the circumstances:
In addition to your work history, are there any other skills, qualifications, or experience we should consider:
Education: School Name and Location, Year, Major, Degree
High School:
College:
College:
Other:
Employment History: (Start with most recent employer)
Company Name:
Address:
Telephone:
Date Started: Starting Wage: Starting Position:
Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact?
Responsibilities:
Reason for leaving:
Company Name:
Address:
Telephone:
Date Started: Starting Wage: Starting Position:
Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact?
Responsibilities:
Reason for leaving:
Company Name:
Address:
Telephone:
Date Started: Starting Wage: Starting Position:
Date Ended: Ending Wage: Ending Position:
Name of Supervisor: May we contact?
Responsibilities:
Reason for leaving:

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Countryside RV and Trailer Sales
8061 N. 19th Ave. W. Colfax, Iowa 50054
Phone: 1.515.674.GORV (4678) Toll Free: 1.877.674.3573 Fax: 1.515.674.3571