Employment Information

A clear understanding of your interests, training, experience and other pertinent information will be mutually beneficial. To be assured of full consideration for positions that would meet your qualifications, please answer all questions completely. We will consider your application without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, or any other legally protected status under applicable local, state or federal law. To the extent this application requests information that does not comply with applicable local or state requirements, such information will not be used in making a hiring decision. Applicants may be required to take a pre-employment drug test. Please print clearly.
* Denotes required field

 
PERSONAL HISTORY
*First Name Middle *Last
 
Note: A valid Social Security # must be provided upon being offered a position with Cascade Car Wash.
 
*Home Phone Cell Phone *Email
*Home Address City *State
*ZIP
 
*Have you previously been employed Cascade Car Wash?
NO   YES
If YES, please complete the following:
 
Under what name, if different Location Position
Supervisor Approximate dates Why did you leave?
*Position(s) Applying for    
Full Time   Part Time  
*When you would be available to begin work? *Are you on a lay-off and subject to recall?
*Wage Expected
 
(The company will attempt to reasonably accommodate an applicant's religious needs, as required by law.)
 
*Are you available for overtime? *Weekend work?
No   Yes   No   Yes
*Do you have a valid Driver's License? *Driver's License Number
No   Yes  
*Do you have reliable transportation?
No   Yes  
 
If you are under age 18, please provide date of birth Can you provide work permit?
  No   Yes
 
In case of emergency, notify:
Name Relationship
 
Address Phone
 
 
*Have you ever been charged with, plead (no contest), been convicted of, or been fined in connection with any felony, misdemeanor, municipal ordinance violation, or any other type of offense (other than a parking ticket), regardless of the nature of the penalty or the fine for that offense?   No   Yes
Please Describe :
(If you are in doubt about the nature of any offense, please list) However, no applicant will be denied consideration because of a pending charge, past conviction, offense, violation or fine, which is not substantially related to the circumstance of the job sought. Failure to disclose information requested above will be considered falsification and grounds for refusal to hire or termination of employment.

 

EDUCATION
School Name & Location Years Attended Graduate Degree
 
School Name & Location Years Attended Graduate Degree
 
School Name & Location Years Attended Graduate Degree
 
Additional education and/or vocational or
technical training information
Describe your computer skills and abilities
 
 

 

EMPLOYMENT HISTORY

Please provide full and accurate details regarding all full-time and part-time employment. Do not omit any employer.

Employeer Address
Phone Supervisor
Job Title
Full Time   Part Time  Temp
Work Performed Reason For Leaving (Please Explain)
Dates Employed
From To
Hourly Rate or Salary
Starting Final
$ $
Per Per

 

Employeer Address
Phone Supervisor
Job Title
Full Time   Part Time  Temp
Work Performed Reason For Leaving (Please Explain)
Dates Employed
From To
Hourly Rate or Salary
Starting Final
$ $
Per Per

 

EMPLOYMENT HISTORY

List Three (3) Employment or Personal References. DO NOT LIST RELATIVES.

Name Address or Email
Phone Company
Position
   
   
Name Address or Email
Phone Company
Position
   
   
Name Address or Email
Phone Company
Position

 

OTHER

Please list any other information you think would be helpful to us in considering you for employment such as activities, accomplishments, etc. Please exclude all information indicative of age, sex, race, religion, color, national origin or disability.

 

 
CERTIFICATION

I certify that the information I have provided to the Company as part of this application along with any other materials submitted by me for employment consideration is true, complete, and without omissions or misleading statements. I understand that my employment may be terminated because of false, misleading, or omitted information, regardless of the time that may have elapsed between furnishing the information and the discovery by the Company.

I authorize the Company to inquire into my education, professional and past employment history with references as needed to determine my qualifications and suitability for employment. I hereby give my consent to any former employer or educational institution to provide academic or employment related information about me to the Company. This includes any pertinent information they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing this information.

I understand that I may be required to pass a pre-employment drug test and that my Social Security number must be validated. I further acknowledge that certain positions with the Company may also require a confirmation that I am licensed to drive a motor vehicle, and that my credit, civil and criminal records may be checked including a verification of my address. I consent freely and voluntarily to participate in the required drug test and background checks, and consent to the release of the results to the Company. I hereby release and hold harmless the Company from any liability whatsoever arising from the drug test and/or background checks and decisions concerning employment based upon the results of these tests and checks.

I understand that nothing in this employment application, the granting of an interview, or possible subsequent employment offer is intended to create an employment contract between myself and the Company. If hired, I will be an "Employee at Will" which means the Company may release me at any time for any reason with or without cause, and I am likewise free to leave at any time for any reason. I understand that no representative of the Company other than the President or Chief Executive Officer has any authority to enter into any agreement for employment that contradicts or modifies the foregoing in any manner, and any such agreement must be in writing and signed by the President or Chief Executive Officer.

If hired, I agree to conform to rules, regulations, and policies which the Company may periodically issue, withdraw or modify. If hired, I understand that I will be required to keep my hair color within the range of "natural" colors (no blue, green, or other non-natural hair colors are allowed) and that facial piercings are not appropriate. I also understand that in order to comply with the Company policy any visible tattoos will need to be covered appropriately during the work day, if hired. I agree to follow the Company grooming guidelines and to be dressed appropriately per the standards of the Company at all times in the workplace, if I am hired.
A photocopy, digital and/or electronic copy of this authorization is as effective and binding as the original.

I understand and agree to the above disclosure statement.