Careers – Xtreme Clean Auto Spa

Personal Information

Full Name

Email Address

Phone

Birth Date

Street Address

City

State

Postal Code

Emergency Contact

Emergency Contact Full Name

Emergency Contact Phone

Emergency Contact Email

Times Available Each Day

Check "Unavailable" for days you cannot work, or set your available hours for each day.

Monday

Unavailable

Monday - From

Monday - To

Tuesday

Unavailable

Tuesday - From

Tuesday - To

Wednesday

Unavailable

Wednesday - From

Wednesday - To

Thursday

Unavailable

Thursday - From

Thursday - To

Friday

Unavailable

Friday - From

Friday - To

Saturday

Unavailable

Saturday - From

Saturday - To

Sunday

Unavailable

Sunday - From

Sunday - To

Any sports or activities we would need to schedule around? If so, please list

Referral Source

How did you hear about us?

If Other, please explain

Personal References

List two personal references not related to you and not employed by Xtreme Clean Auto Spa.

Reference 1 Full Name

Reference 1 Relationship

Reference 1 Email Address

Reference 1 Phone Number

Reference 2 Full Name

Reference 2 Relationship

Reference 2 Email Address

Reference 2 Phone Number

Education

Highest Grade Completed

Name of Last School Attended

Employment History #1

Most recent or current employer.

Employer 1 Company Name

Employer 1 Supervisor

Employer 1 Address

Employer 1 City

Employer 1 Phone

Employer 1 Starting Salary / Hourly Wage

Employer 1 Present or Last Salary / Hourly Wage

Employer 1 Start Date

Employer 1 End Date

Employer 1 Type of Work Performed

Employer 1 Reason for Leaving

Employment History #2

Employer 2 Company Name

Employer 2 Supervisor

Employer 2 Address

Employer 2 City

Employer 2 Phone

Employer 2 Starting Salary / Hourly Wage

Employer 2 Present or Last Salary / Hourly Wage

Employer 2 Start Date

Employer 2 End Date

Employer 2 Type of Work Performed

Employer 2 Reason for Leaving

Military Experience

Dates of Service From

Dates of Service To

Military Rank

Key Skills Acquired

Additional Information

If applicable, please list all languages spoken other than English

Are you legally authorized to work in the United States?

Yes

Do you have a current valid drivers license?

Yes

Have you ever pled guilty or no contest to a crime, or been convicted of a crime?

Yes

Please note: answering yes does not automatically disqualify you for employment.

If yes, please give date and details

Have you ever been convicted of a DUI or DWI?

Yes

If yes, please specify date

Employment Application Agreement

I agree to the terms of this employment application

Yes

If you are human, leave this field blank.

Join the Crew

Employment Application

Personal Information

Emergency Contact

Position

Times Available Each Day

Referral Source

Personal References

Education

Employment History #1

Employment History #2

Military Experience

Additional Information

Employment Application Agreement

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