Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."
Application for Employment

Thank you for your interest in employment with EZ Clean Car Wash. Please fill out the following application accurately and completely. If your application meets the criteria of a position opening, a member of our management staff will contact you for further proceedings.
First Name:
Social Security Number:
Present Address:
Last Name:
Education History
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Employment Desired:
Referred By:
Phone:
High School:
Are you employed? YES - NO
Position Desired:
Subjects Studied:
Subjects Studied:
Did you graduate? Yes – No
Years Attended:
Salary Desired:
Date you can start:
Salary:
Name of Employer:
College:
Subjects of special study/research work or special training skills:
Former Employers ~ List last four employers, starting with last one first:
Did you graduate? Yes – No
Years Attended:
Subjects Studied:
Trade School:
Did you graduate? Yes – No
Years Attended:
General Information
Reason for Leaving:
Position:
To:
Date From:
Salary:
Name of Employer:
Reason for Leaving:
Position:
To:
Date From:
Salary:
Name of Employer:
Reason for Leaving:
Position:
To:
Date From:
Salary:
Name of Employer:
Reason for Leaving:
Position:
To:
Date From:
Give the names of three people not related to you, whom you have known for at least one year.
Date:
Full Name:
Address:
Years Known:
Name:
Address:
Years Known:
Name:
Address:
Years Known:
Name:
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