Membership Candidate Application for General Motors Community Dealer Development (GMCDD) Jump to Application Community Dealer Development Application Step 1 of 4 - Eligibility 25% Application Checklist(Required)Above are the components of this application. Please check each box confirming that you are prepared to complete each item on this application Application Page 1 - Candidate Details Application Page 2 - Map Application Page 3 - Signature Contact InformationPlease provide your personal contact information below.Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Title First (Legal) Last Preferred First Name (or nickname) Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email Address(Required) Are you authorized to work in the US?(Required) Yes No Present and Previous Business ExperienceAccount for all periods during at least the past 10 years (newest to oldest)Time Period (Most Recent)(Required)Company(Required)Last Position / Title(Required)Address(Required) City State / Province / Region Products/ Brands Handled(Required)% OwnershipDo you have additional business experience to include? Yes No Time Period (2)CompanyLast Position / TitleAddress City State / Province / Region Products/ Brands Handled% OwnershipDo you have additional business experience to include? Yes No Time Period (3)CompanyLast Position / TitleAddress City State / Province / Region Products/ Brands Handled% OwnershipDo you have additional business experience to include? Yes No Time Period (4)CompanyLast Position / TitleAddress City State / Province / Region Products/ Brands Handled% OwnershipDo you have additional business experience to include? Yes No Time Period (5)CompanyLast Position / TitleAddress City State / Province / Region Products/ Brands Handled% OwnershipAutomotive Positions HeldDealer Owner Operator(Required) Yes No Business NameCityStateNumber of YearsGeneral Manager or Executive Manager(Required) Yes No Business NameCityStateNumber of YearsNew Vehicle Car Sales Manager Yes No Business NameCityStateNumber of YearsUsed Vehicle Sales Manager Yes No Business NameCityStateNumber of YearsFinance & Insurance Manager Yes No Business NameCityStateNumber of YearsService/Parts Manager Yes No Business NameCityStateNumber of YearsVehicle Salesperson Yes No Business NameCityStateNumber of YearsService Advisor/Writer Yes No Business NameCityStateNumber of YearsInternet Manager / BDC Manager Yes No Business NameCityStateNumber of YearsOffice Manager Yes No Business NameCityStateNumber of YearsOther Role Yes No Title of RoleBusiness NameCityStateNumber of YearsAdditional InformationProposed Investment Commitment(Required)Please note all funds must be reviewed by an attorney or your accountant who needs to sign the application indicating the funds are available.If you are currently employed by a GM Dealer, is he/she aware of this application/request?(Required) Yes No N/A Have you faced barriers to participating in the automotive dealer community at large and/or competing for dealership opportunities? If so, please describe how you faced those barriers, including the steps you took and the skills and strategies you used that helped you overcome those barriers.(Required)Please provide a brief summary of why you believe your experience qualifies you to operate a General Motors dealership:(Required)A resume must be submitted via email to [email protected]. Please note a personal background check is required and the form will be emailed to you.Are you working with at GM Dealer Network Manager?(Required) Yes No What GM Dealer Network Manager are you working with? Preferred RegionsArrange regions from most desired (top) to least desired (bottom)WesternSouth CentralNorth CentralSoutheastNortheastPreferred State(s)Select between 1 and 5 choices. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Are there any state or regions that you are NOT open to? Add Remove I have completed the Application to General Motors Dealer Development. I understand that GM will be relying on the accuracy of its contents.In making this Application, I acknowledge and agree that:(Required) The forms for this Application were supplied to me by General Motors Community Dealer Development as a convenience to me and their receipt for review creates no obligation whatsoever on the part of GM or any of its representatives.In making this Application, I acknowledge and agree that: Any material misrepresentation, whether intentional or unintentional, in the information submitted by me or any other entity in connection with this Application will be grounds upon which GM may: (a) elect to reject my Application, (b) immediately terminate any Dealer Agreement executed by GM, (c) terminate my acceptance into the Program, or (d) take any other action which GM deems appropriate.In making this Application, I acknowledge and agree that: GM and any agent or affiliate it selects has my continued express consent to investigate and review and report on my financial condition and creditworthiness, including personal, employment, credit, business and character information obtained from references, current and former employers and associates, credit bureaus, reporting and other investigative agencies, federal, state and local municipalities, and any other person or entity. GM may request proof of funds, bank statements, certificate of deposit, etc. A limited power of attorney would be required if any account is joint. GM may also request dealership financial statements, sales performance reports, customer satisfaction reports and photographs of your current dealership facility. Please provide a current, clear headshot and resume upon submission of your application to [email protected]. All information provided will be used for GM internal purposes only.In making this Application, I acknowledge and agree that:(Required) I have read and acknowledge the GM Privacy Statement(Required)Print Applicant’s Name(Required)Applicant’s Electronic SignatureAddress for attorney or CPA who can verify your funds:(Required)Please be advised that we will reach out via email with a form for your attorney or CPA to sign to verify the funds you have stated are available. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required)
