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Application for Employment
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Name
*
First
Middle
Last
Address
*
Contact Information
*
Have you ever been convicted of a felony?
*
yes
no
If yes, explain:
Are you a U.S. Citizen?
*
yes
no
Are you willing to submit to a Drug Screening test?
*
yes
no
This establishment requires a valid driver's license. Do you have a valid driver's license?
*
yes
no
Date of Birth
*
DL#:
*
Past Employment at Auto Spa
*
yes
no
Education
*
Past Employment
*
Position Sought:
*
Desired Pay Rate:
*
Available Start Date:
*
Are You Currently Employed:
*
I certify that all answers given here are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in Discharge.
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