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Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
Phone
(Required)
Availability
What date would you be available for work?
(Required)
MM slash DD slash YYYY
How many hours per week would you schedule yourself?
Are you seeking:
(Required)
Part Time
Full Time
Either
Please Check the times each day you are available to work:
Monday - Friday - Anytime
Monday - Friday - Morning
Monday - Friday - Afternoon
Monday - Friday - Not Available
Saturday - Sunday - Anytime
Saturday - Sunday - Morning
Saturday - Sunday - Afternoon
Saturday - Sunday - Not Available
Education
Please enter your education background information below.
High School
Did You Graduate
Yes
No
College
Course of Study/Degree or Diploma
Did You Graduate
Yes
No
Business/Trade/Technical School or Program
Course of Study/Degree or Discipline
Did You Graduate
Yes
No
Employment History
Please give accurate, complete, full-time and part-time employment records. Start with your present or most recent employer.
May we contact your present employer?
Yes
No
Please list information for Company 1
Company Name
Phone Number
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Supervisor
Reason for Leaving
Experience
Please list any other experience, licenses, certifications, and training relevant to the position desired.
Experience
Licenses
Certifications
Training
Military
Did you serve in the U.S. Armed Forces?
Yes
No
Acknowledgment and Agreement
Please read carefully and enter your initials (CAPITAL LETTERS) for each paragraph and sign below.
Initials
(Required)
I understand that if hired, I will be subject to Rocket Wash Car Wash's drug and alcohol testing policy during my employment.
Initials
(Required)
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
Initials
(Required)
I hereby authorize Rocket Wash Car Wash to thoroughly investigate my references, work record, education, and any other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
Initials
(Required)
I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is "at will" for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.
Initials
(Required)
Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgment) be conducted by internal personnel employed by the Company, I am entitled to copies of any such public records obtained by the Company unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
Consent
(Required)
I waive receipt of a copy of any public records described in the paragraph above.
Date
(Required)
MM slash DD slash YYYY
Applicant's Signature
(Required)
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