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Employment Application
Rapid Wash Employment Application
Personal Information
*Asterisk indicates required field.
*First Name:
*Last Name:
Address:
City/State/Zip:
*Email:
*Phone Number:
Are you over 18 years of age? Yes No
Are you employed now? Yes No
Have you ever been fired or asked to resign from a job? Yes No
If yes, explain:
Available for: (Select One) Full Time Part Time Either
Have you been convicted of a felony in the last 7 years? Yes No
Desired Position: Attendant
Assistant Manger
What is your reliable method of transportation?
Employment History
List your last 3 positions - complete with company address and telephone number, position held, responsibilities and name of direct supervisor.
Previous employer:
Dates of employment: From: To:
Supervisor:
Supervisor Phone:
Position Held:
Reason for leaving:
Contact Supervisor? Yes No
Responsibilities:
Additional Information
I certify by initialing below that all information submitted is true the the best of my knowledge.
Applicant Initials:
Please read the Applicant's Statement below and press the submit button to send your application to Rapid Wash.