Saginaw Express Car Wash

ONLINE APPLICATION

POSITION DESIRED:			FULL-TIME		PART-TIME

PERSONAL

NAME:
	FIRST NAME	MIDDLE NAME	LAST NAME

EMAIL ADDRESS:

SOCIAL
SECURITY NO.:

DRIVER'S
LICENSE NO.:

ADDRESS:
	STREET	APT. NUMBER	CITY

	STATE	ZIP CODE	PHONE NUMBER

EMERGENCY CONTACT:
	NAME	PHONE

MARITAL STATUS		MARRIED		SINGLE
ARE YOU 18 YEARS OR OLDER?		YES		NO

IF NO, DATE OF BIRTH:

IS YOUR CITIZENSHIP/IMMIGRATION STATUS SUCH THAT YOU CAN LAWFULLY WORK IN THE U.S.?

EMPLOYMENT IS DEPENDENT UPON PROOF OF CITIZENSHIP, EMPLOYMENT AUTHORIZATION, OR PRESENTATION OF AN ALIEN REGISTRATION NUMBER.

EDUCATION

SCHOOL MOST RECENTLY ATTENDED:
	NAME	LOCATION

GRADUATED?

YES

IF NO, LAST GRADE COMPLETED:

NOW ENROLLED?

YES

SPORTS OR ACTIVITIES:

WORK EXPERIENCE

THREE MOST RECENT JOBS WITHIN THE LAST FIVE YEARS

COMPANY:

ADDRESS/PHONE:

DATES WORKED:

FROM:

TO:

SUPERVISOR:

COMPANY:

ADDRESS/PHONE:

DATES WORKED:

FROM:

TO:

SUPERVISOR:

COMPANY:

ADDRESS/PHONE:

DATES WORKED:

FROM:

TO:

SUPERVISOR:

GENERAL

TOTAL HOURS AVAILABLE PER WEEK:

	MON	TUES	WED	THURS	FRI	SAT	SUN
FROM
TO

WHAT WORK LIMITATIONS DO YOU HAVE?

CARWASH EXPERIENCE?

YES

IF YES, WHERE AND WHEN?

DATE AVAILABLE TO START:

HAVE YOU BEEN DISCIPLINED FOR ABSENCE OR TARDINESS BY ANY OF YOUR PREVIOUS EMPLOYERS?

IF YES,
PROVIDE DETAILS:

HAVE YOU EVER BEEN DISCHARGED OR ASKED TO LEAVE BY ANY OF YOUR PREVIOUS EMPLOYERS?

IF YES,
PROVIDE DETAILS:

WITHIN THE PAST FIVE YEARS HAVE YOU BEEN CONVICTED, PLED GUILTY, OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OTHER THAN A TRAVEL VIOLATION?

IF YES,
PROVIDE DETAILS:

DO YOU SMOKE?

IN COMPLETING THIS APPLICATION, I UNDERSTAND THAT IT IS VERY IMPORTANT THAT I BE COMPLETELY TRUTHFUL. I REALIZE THAT SAGINAW EXPRESS CARWASH IS RELYING ON MY TRUTHFULNESS. I AGREE THAT IF IT SHOULD BE DISCOVERED THAT THE INFORMATION I AM PROVIDING IS INACCURATE, MISLEADING OR INCOMPLETE IN ANY RESPECT, I WILL BE DISQUALIFIED FOR EMPLOYMENT OR, IF I HAVE ALREADY BEEN HIRED, MY EMPLOYMENT WILL BE TERMINATED IMMEDIATELY.

I UNDERSTAND AND AGREE THAT IF I SHOULD BECOME EMPLOYED BY SAGINAW EXPRESS CAR WASH, I WILL HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME FOR ANY REASON, OR FOR NO REASON. I FURTHER AGREE THAT SAGINAW EXPRESS CAR WASH SHALL HAVE THE SAME RIGHT TO TERMINATE MY EMPLOYMENT. MY EMPLOYMENT AT-WILL STATUS CANNOT BE MODIFIED UNLESS SUCH MODIFICATION IS SET FORTH IN WRITING IN A DOCUMENT SIGNED BY BOTH ME AND THE OWNER OF SAGINAW EXPRESS CAR WASH.

I HAVE READ AND UNDERSTOOD THE FOREGOING. I AM SEEKING EMPLOYMENT AT SAGINAW EXPRESS CAR WASH UNDER THE TERMS AND CONDITIONS SET FORTH HEREIN. I CERTIFY AND DECLARE THAT ALL OF THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT.

I hereby agree to the above Terms and Conditions