Online Job Application Form

Zylstra Harley-Davidson® Talent Application

Please Fill Out the Form Below to Submit Your Job Application!
Zylstra Harley-Davidson®, is an equal opportunity employer dedicated to a policy of compliance with all federal, state and local laws regarding non-discrimination in employment. If you are hired by the Company, the Immigration Reform and Control Act of 1986 requires you on INS Form I-9, “Employment Eligibility Verification” to attest to your identity and employment eligibility and to present to us for our examination certain documents evidencing your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements. We will notify you when to present such documents in the event you are hired by us. Consistent with the Americans with Disabilities Act, applicants may request accommodations from management needed to participate in the application process.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Education
High School*
Higher Education
Have you participated in an apprenticeship or industrial training?

YesNoCompleted
Do you have any additional certifications or endorsements? (current, unexpired)

Conviction Information
Conviction Information
I certify that the above information is true and correct. The Company is hereby authorized to verify and investigate this information. I understand that any false information will of itself constitute sufficient cause and reason for either refusal to hire or termination of employment.
Signature

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EMPLOYMENT INQUIRY RELEASE

In connection with my employment (including contract for services) with you, I understand that investigative background inquiries are to be made on myself from various Federal, State, and other agencies, which can include consumer credit, criminal convictions, civil action, workers compensation, driving record, and all other reports. These reports will include information as to my character, work habits, performance, and experience along with reasons for separation from previous employers, Although I am already employed by you, I understand that these inquiries and verifications are part of the due diligence policy of Zylstra Harley-Davidson® for all current employees as well as potential employees.Information such as date of birth and driver’s license number are used strictly as identifiers in the screening process to insure accurate information. This information WILL NOT affect eligibility status for employment with this company.I authorize without reservation, Zylstra Harley-Davidson® Daniel D. Stevens, Inc. and/or any other agencies contacted, to furnish the above-mentioned information, and release all parties involved from any liability and responsibility for doing so. This authorization and consent shall be valid in Original, Fax or Copy Form.
Signature*

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Date*

MonthDayYear
Date
Name*

First NameLast Name
Date of Birth*
Position Applied for*
Photo ID
LIST ALL ADDRESSES HELD IN THE PAST (7) YEARS
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Address

Street Address

Street Address Line 2

CityState

Zip Code
Address

Street Address

Street Address Line 2

CityState

Zip Code
Previous Addresses (cont.)

Motor Vehicle Record Release
Weiser Insurance

PO BOX 70, Adel, IA 50003
I, name* authorize Weiser Insurance Services to release my Motor Vehicle Record to Zylstra Cycle Company.
Signature*

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Date*

MonthDayYear
Date
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Zylstra Harley-Davidson® Talent Application

Application for Employment

Education

Conviction Information

EMPLOYMENT INQUIRY RELEASE

LIST ALL ADDRESSES HELD IN THE PAST (7) YEARS

Motor Vehicle Record Release

Weiser Insurance