EMPLOYMENT – WASH ATTENDANT POSITION (ALSIP, IL)

First Name

Last Name

Address

Address Line 2

City

Zip / Postal Code

Phone Number

Email Address

Are you 18 or older? Are you 18 or older? Yes No

Are you authorized to work in the U.S.? Are you authorized to work in the U.S.? Yes No

What prompted you to apply? What prompted you to apply? Website Sign Friend/Relative Flyer Career Fair Current Associate Other

Do you have reliable transportation? Do you have reliable transportation? Yes No

Do you have a valid drivers license? Do you have a valid drivers license? Yes No

Highest Level of Education Achieved

Type of School (HS, College, Etc.) & School Name

-- Years completed -- -- Years completed --1 year2 years3 years4 years

Graduate? Graduate? Yes No

Availability Availability Full Time Part Time

Number of Hours Each Week

When are you available to work?

May we contact your present employer (if any) about this application? May we contact your present employer (if any) about this application? Yes No

School Related Extra Curricular Activities (Activity, Length of Time, Availability)

Applicant's Statement - I acknowledge that the facts set forth on this application are true and complete. I understand that any false statements or omission on this application shall be sufficient cause for dismissal. I understand that all employees of Clear Wave Car Wash are employees at will and that the employment relationship can be terminated at any time, with or without cause, at either the option of the employee or the option of Clear Wave Car Wash. I specifically authorize Clear Wave Car Wash to obtain any and all employment records, reports, information, data or copies thereof, from any of my previous employers listed on the other side; and I further specifically authorize any previous employers to provide to Clear Wave Car Wash, such information that in any way relates to my employment history and performance. Applicant's Statement - I acknowledge that the facts set forth on this application are true and complete. I understand that any false statements or omission on this application shall be sufficient cause for dismissal. I understand that all employees of Clear Wave Car Wash are employees at will and that the employment relationship can be terminated at any time, with or without cause, at either the option of the employee or the option of Clear Wave Car Wash. I specifically authorize Clear Wave Car Wash to obtain any and all employment records, reports, information, data or copies thereof, from any of my previous employers listed on the other side; and I further specifically authorize any previous employers to provide to Clear Wave Car Wash, such information that in any way relates to my employment history and performance. Yes, I acknowledge*