Date
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MM
DD
YYYY
Legal First and Last Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
Contact number which is best to reach you
(###)
###
####
Email Address
*
Birth Date
*
MM
DD
YYYY
Date Available for Employment
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Desired Wage
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Position Applied For
*
Please list your weekly hours available
*
Are you authorized to work in the United States?
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Have you ever worked for this company or know of anyone who has?
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If you answered yes to the question above- Explain when you worked for this company or who you knew that worked here?
Have you ever applied with us before?
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Yes
No
Have you ever been convicted of a crime?
*
Explain here
High School Attended
*
Did you graduate from the high school listed above?
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College/University Attended
*
Did you graduate from the college/university listed above?
*
Degree you received from college/university
Other Education
Did you graduate from the other education listed above?
Qualifications/Certifications
*
Tell us about your qualifications/certifications. Tell us about specific areas of study/training/or qualification.
(Previous Employer) Company
*
Previous Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Previous Employer Phone Number
*
(###)
###
####
Previous Employment Job Title
*
Previous Employer Supervisor Name
*
Previous Employment Responsibilities
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Worked FROM
*
MM
DD
YYYY
Worked TO
*
MM
DD
YYYY
Reason for leaving
*
May we contact your manager/supervisor/employer for a reference?
*
(Previous Employer) Company
Previous Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Previous Employer Phone Number
(###)
###
####
Previous Employment Job Title
Previous Employer Supervisor Name
Responsibilities
Worked FROM
MM
DD
YYYY
Worked TO
MM
DD
YYYY
Reason for leaving
May we contact your manager/supervisor/employer for a reference?
(Previous Employer) Company
Previous Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Previous Employer Phone Number
(###)
###
####
Previous Employment Job Title
Previous Employment Supervisor Name
Responsibilities
Worked FROM
MM
DD
YYYY
Worked TO
MM
DD
YYYY
Reason for leaving
May we contact your manager/supervisor/employer for a reference?
Reference # 1 Name
*
First Name
Last Name
Relationship to Reference #1
*
Reference's Company
Reference #1 Phone Number
*
(###)
###
####
Reference #1 Email
Reference #1 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #2 Name
*
First Name
Last Name
Relationship to Reference #2
*
Reference's Company
Reference #2 Phone Number
*
(###)
###
####
Reference #2 Email
Reference #2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #3 Name
*
First Name
Last Name
Relationship to Reference #3
*
Reference's Company
Reference #3 Phone Number
(###)
###
####
Reference #3 Email
Reference #3 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Branch
FROM
MM
DD
YYYY
TO
MM
DD
YYYY
I certify that my answers are true and complete to the best of my knowledge.
*
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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" I CERTIFY THAT ALL INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE. AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTAIONS ARE DISCOVERED MY APPLICATION MAY BE REJECTED AND IF I AM EMPLOYED MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. I UNDERSTAND I WILL BE REQUIRED TO SHOW PROOF OF MY ELIGIBILITY FOR EMPLOYEMENT IN THE UNITED STATES IN ACCORDANCE WITH FEDERAL IMMIGRATION LAW AND REGULATION. "I UNDERSTAND THAT INVESTIGATIVE BACKGROUND INQUIRES MAY BE MADE INCLUDING REFERENCES, EMPLOYMENT HISTORY, EDUCATION AND OTHER REPORTS. IF I AM APPLYING FOR A POSITION OF TRUST AND/OR A JOB THAT REQUIRES HANDLING MONEY OR DRIVING. ADDITIONAL REPORTS CAN INCLUDE CONSUMER CREDIT, DRIVING AND CRIMINAL RECORDS. THESE REPORTS INCLUDE INFORMATION AS TO MY CHARACTER, PAST PERFORMANCE AS AN EMPLOYEE AND RECORDS FROM VARIOUS PRIVATE, STATE AND FEDERAL AGENCIES. I HEREBY VOLUNTARILY AGREE TO SUCH CHECKS AND RELEASE ALL PARTIES INCLUDING PAST EMPLOYERS AND THIS COMPANY FROM ANY AND ALL LIABILITY IN THE INFORMATION SOUGHT, PROVIDED AND OBTAINED. "IF EMPLOYED. I WILL BE IN AN INTRODUCTORY PERIOD FOR AT LEAST 90 DAYS. IN CONSIDERATION OF MY EMPLOYMENT . I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE AT ANY TIME. BY EITHER ME OR THE OR THE COMPANY. "I UNDERSTAND THAT A BLOOD , BREATH OR OTHER BODY SUBSTANCE TEST MAY BE REQUESTED OF ME AS PART OF THE COMPANY'S PROGRAM. SINCE TESTING IS A CONDITION OF EMPLOYMENT. I AGREE TO COOPERATE WITH PROPER TESTING AUTHORITY AND ACCEPT TESTING IF AND WHEN ASKED UNDER THE CONDITIONS DESCRIBED IN THE COMPANY'S DRUG FREE WORKPLACE PROGRAM. "I UNDERSTAND THE COMPANY HAS A DRUG TESTING POLICY. I UNDERSTAND THAT THE DRUG AND ALCOHOL TESTING CAN OCCUR UNDER THE TERMS AND CONDITIONS OF THE COMPANY'S POLICIES AND PROCEDURES. ALL DRUG & ALCOHOL TESTING IS PERFORMED BY AN ACCREDITED TESTING SERVICE AND UNDER APPLICABLE FEDERAL AND STATE GUIDELINES AND REQUIREMENTS."
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ELECTRONIC SIGNATURE
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Thank you for submitting your application to Rocky Mountain Car Wash.
