Application Form InstagramThis field is for validation purposes and should be left unchanged. Personal Information Full Name(Required) First Email Address(Required) Phone(Required)Birth Date Address Street Address City Enter StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Postal Code Position Information Do you have reliable transportation to work? Yes No Are you willing to work weekends and holidays? Yes No Have you ever worked for Clean Wave Car Wash before? Yes No Are you interested in a part-time or a full-time position? Part-Time Full-Time If you know any employees that currently work here, please list them:Any sports or activities that we would need to schedule around? Referral Source Referral SourceAdvertisementFriendNow Hiring SignOtherIf Other, please explainResume and References (optional) List two personal references not related to you and not employed by Clean Wave Car Wash. Reference 1 Full Name First RelationshipEmail Address Phone NumberUpload Resume and ReferencesMax. file size: 20 MB. Reference 2 Full Name First RelationshipEmail Address Phone NumberUpload Resume and ReferencesMax. file size: 20 MB. Education Highest grade completedName of the last school attended Employment History Employment #1 Most recent or current employer Employer Company NameEmployer AddressEmployer CitySalary / Hourly WageStart Date End Date What was your Role and Duties?Reason for Leaving Employment #2 Most recent or current employer Employer Company NameEmployer AddressEmployer CitySalary / Hourly WageStart Date End Date What was your Role and Duties?Reason for Leaving Military ExperienceMilitary Experience Yes No Branch Served Army Navy Marines Air Force Coast Guard National Guard Additional Information Languages Spoken (other than English)Are you legally authorized to work in the United States? Yes No Do you have a current valid driver's license? Yes No Background Information Have you ever been charged or convicted of a felony? Yes No If yes, please provide the date and detailsHave you ever been convicted of a DUI or DWI? Yes No If Yes, please specify the date Employment Application Agreement I certify that the answers given by me to the foregoing questions and statements are true and correct to the best of my knowledge without consequential omissions of any kind. I agree that the Company shall not be held liable if my employment is rejected or terminated due to false statements, answers, or omissions. I understand that misleading or incorrect statements may render this application void and may lead to termination if employed. I acknowledge that employment with Clean Wave Car Wash is at-will and may be terminated at any time by either party. I agree to the terms of this employment application Yes No
