Hourly Employment Application Form
Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Were you referred by someone?
Yes
No
Please give the name of the person who referred you:
First Name
Last Name
Did you learn about this position through an online posting?
Yes
No
Which One/Other
Are you at least 16 years of age?
Yes
No
Have you ever been convicted of a felony or misdemeanor? THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
Yes
No
Job Preferences
If you are offered employment, when are you available to begin work?
Which position are you applying for:
Please Select
Wash Attendant
Service Advisor
Detailer
Supervisor
Schedule Preferences
Full Time
Part Time
Seasonal
Other
Number of Hours per Week
Hours
Please indicate the times you are available to work
Rows
Open
Mid
Close
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Work History
Please include your past 5 years of Professional Work Experience if applicable
List any skills you possess that may be useful for the job you are seeking:
Education/Training High School Attending/Attended
GED obtained
Yes
No
Not Yet
List any licenses, certifications, special honors or achievements:
Declaration
I, the applicant undersigned, agree with the following statements:
I declare that all information provided in this form is true and complete.
I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered later.
IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. I UNDERSTAND MY EMPLOYMENT IS TENTATIVE BASED UPON A SUCCESSFUL COMPLETION OF A 10 YEAR CRIMINAL BACKGROUND CHECK.
I acknowledge that I meet all required qualifications for this position and am able to perform the job responsibilities outlined in the job posting.
Date
-
Month
-
Day
Year
Date
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