Employment

Personal Information

Name*

Address*

Email*

Availability

Position Applying For*

Desired Hourly Pay*

Available Start Date*

Are you available for overtime?*

Are you available for weekend work?*

Have you been Previously Employed with Clear Water Car Wash?

Education History

High School

Did You Graduate?*

College

Trade, Business or Correspondence School

Did You Graduate?

Employment History

Employer*

Address*

Phone Number*

Supervisor*

Job Title*

Type of Position*

Time Employed*

Hourly Rate or Salary*

May we contact this employer for reference?*

Employment History Continued

Employer

Address

Phone Number

Supervisor

Job Title

Type of Position

Time Employed

Hourly Rate or Salary

May we contact this employer for reference?

Additional Information

Do you have a valid Driver's License?*

Do you have reliable transportation?*

Can you drive a manual transmission vehicle?*

If you are under 18 years of age, can you provide a work permit?

References

Please list three (3) employment or personal references. Do not list relatives.

Reference 1*

Reference 2*

Reference 3*

Certification

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my pervious employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans of Disabilities Act (ADA) and other relevant federal and state laws.”

* By typing my name, I am electronically signing my application.