Qwik Park is an equal opportunity employer We will not discriminate against any, applicant on the basis of any characteristic that is protected by state or federal law. Michigan law requires that a person with a disability or handicap requiring accommodation to perform the essential duties of the job must notify the employer In writing within 182 days of the date that the need ls known or shown to have been known.

Name*

First NameLast Name

Date of Application*

Date

Home Phone Number*

Please enter a valid phone number.

Social Security Number

Business Phone Number

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are You 18 Years or Older?*

YesNo

Are You Legally Eligible to Work in the United States?*

YesNo

Drivers License Number*

Chauffeurs License?*

YesNo

Did you ever apply to or work for Airlines Parking, Qwik Park, US Park, or Park n Go before? If yes, when?*

YesNo

Date Previously Applied (if applicable)

Under what name did you previously apply?

Have You Been Employed Here Before?*

YesNo

If Yes, Date(s)

Previous Position

Supervisor's Name

Reason For Leaving

List Any Friends or Relatives Already Employed Here

Position Applying For:*

Salary Desired*

Type of Employment*

Full TimePart Time

Qwik Park operates 7 days a week, 24 hours a day, year round. Are there any days of the week or hours in the day that you are unavailable to work?*

YesNo

Qwik Park operates 7 days a week, 24 hours a day, year round. Are there any days of the week or hours in the day that you are unavailable to work?

YesNo

If yes, which days or hours?

Are you employed now?*

YesNo

If yes, may we contact your present employer?

YesNo

Where did you hear about Qwik park or the open position?

Name, Address and Phone Number of Employer

Salary Starting/Ending

Dates Employed Here

Name, Address and Phone Number of Employer

Salary Starting/Ending

Dates Employed Here

Name, Address and Phone Number of Employer

Salary Starting/Ending

Dates Employed Here

Name, Address and Phone Number of Employer

Salary Starting/Ending

Dates Employed Here

May we contact the employers listed?

YesNo

If yes, which ones?

ELEMENTARY SCHOOL

HIGH SCHOOL

COLLEGE

SPECIALIZED TRAINING

Provide any additional education information, such as special skills, training, management experience, equipment operation or qualifications which will be helpful to us in considering your application.

Have you had any experience in the armed forces of the United States?

YesNo

If yes, What branch?

Date Entered

Date

Rank at Discharge

Date Discharged

Date

If discharged, was it honorably?

YesNo

List any special training

Are you in the National Guard/Reserves?

YesNo

Are You:

ActiveInactive

If active, when does your obligation end?

Have you ever been convicted of a crime, other than a minor traffic violation?

YesNo

If yes, please explain the nature of the offense, where, when and the disposition of the offense:

Reference #1

Reference #2

Reference #3

EMERGENCY CONTACT

QWIK PARK

Please read the following carefully before signing to indicate your understanding:

Upon the signing of this application, I represent that all the Information now or hereafter given by me in support of my application for employment is true and complete. I authorize Qwik Park to verify any of the Information concerning my employment, education, credit, driving or medical history with the appropriate individuals, companies, institutions or agencies and I authorize them to release such informat1on as Qwik Park requires, including my prior disciplinary record, without any obligation to give me written notice of such disclosure. I also authorize Qwik Park to release any information requested by any of my prospective or subsequent employers, without any obligation to give me written notice of such disclosure. I hereby release Qwik Park and them from any liability whatsoever as a result of any such inquiries and disclosures I agree that any false Information In support of my application may subject me to discharge at any time during the period of employment.

If hired, I agree that If I am discharged from my employment at Qwik Park after completing probation then arbitration will be the sole and exclusive remedy available to me, I further agree that during my probation (a period of 90 days) I am employed at the will of Qwik Park and may be discharged at any time, with or without cause, and with or without notice.

I further agree that my employment Is conditional upon satisfactory completion of documentation as required by the Immigration Reform and Control Act of 1986

As a condition of employment, all applicants shall be required to submit to a drug test and physical exam. Drivers must be able to lift luggage repeatedly, up to 75 Lbs per bag. Cashiers must be able to stand in an exit booth for an extended period of time. Further, upon employment, all employees shall be subject to Qwik Park random drug testing. This practice Is adopted for the safety of our customers and employees.

Signature*

Date of Signature

Qwik Park

Personal

Employment Desired

Employment History

Education

Military Experience

Additional Information

References

QWIK PARK

Sign and date below prior to submission