EmploymentPersonalLast NameMiddle NameFirst NameSocial Security NumberDate Of BirthCityStateZIPHome PhoneCell PhoneEmergency ContactNameAddressPhoneEmployment DesiredAre you employed at this time?May we contact your present employer?If Yes, please provide Name and Phone Number.Are there hours/shifts/days you cannot or will not work?If yes ,when?Date you can begin workDo you have reliable transportation to work?General InformationHave you ever worked for this company?Supervisors NameReason for leaving?Are you able to perform all the functions of the job with or without reasonable accommodations?Have you ever been convicted of a felony?If yes, please explain?If hired, do you agree to abide by the safety rules of this company?If hired, can you provide proof of eligibility to work in the United States Of America prior to beginning work?Have you ever been counseled for cash-handling situations?If yes, please explainEducationHigh SchoolName & LocationYears completedType Of Degree or CertificateCollege/other schoolsName & LocationYears completedType Of Degree or CertificateIdentification RequirementsThe Immigration and Control Act of 1986 requires that if hired, before you start to work, you present to the selecting manager documents which establish your identity and eligibility to work in the United States of America. Some of the documents are:United States passportCertificate of CitizenshipU.S. Birth CertificateDrivers License/ State I.D. CardCurrent Foreign Passport with attached Employment AuthorizationCertificate of NaturalizationAlien Registration Card with PhotoSocial SecurityU.S. Military CardEmployment HistoryPlease read carefully. Begin with present or most recent employer and list all jobs you have held for the past five (5) years. Include any relevant volunteer work experience, account for periods of employment in the space below.Job 1FromToJob TitleEmployer NameAddressPhoneJob Description/DutiesImmediate SupervisorStarting WageEnding WageReason For LeavingMay we contact this previous employer?Job 2FromToJob TitleEmployer NameAddressPhoneJob Description/DutiesImmediate SupervisorStarting WageEnding WageReason For LeavingMay we contact this previous employer?Job 3FromToJob TitleEmployer NameAddressPhoneJob Description/DutiesImmediate SupervisorStarting WageEnding WageReason For LeavingMay we contact this previous employer?Please explain any periods of unemployment:FromToHow did you spend your time?FromToHow did you spend your time?Drug and Alcohol PolicyLittle sister’s Truck Wash Inc. has a vital interest in maintaining a drug and alcohol-free environment for its employees, customer and visitors. Therefore the company prohibits the use of, possession of, distribution of, purchase or sale of, transfer of, trafficking in and working or reporting for work under the influence of intoxicants, drugs or controlled or illegal substances. Applicants for employment may be required to take and pass a drug and alcohol-screening test before they can begin work and employees may be tested if the company has a reasonable suspicion of substance abuse. Results of screen test will be kept confidential in accordance with applicable laws.Please read and sign belowI hereby certify that the information contained in the application form is true and correct to the best of my knowledge and agree to have any of the statements checked by the company unless I have indicated in the contrary. I authorize the references listed above to provide the company with any and all information concerning my previous employment and any pertinent information they may have. Further, I release all parties and persons from any and all liability for any damages that may result from forbidding such information to the company as well as free the use or disclosures of such information by the company or any of its agents, employees or representatives. I understand that any misrepresentation, falsification, or material omission of information may result in my failure to receive an off if I was hired in my dismissal of employment.In consideration of my employment, I agree to conform to the rules and standards of the company and agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time either at my option or at the option of the company.Applicant's SignatureDateSubmit Application
