Employment Application form WATER WORKS CAR WASH Employment Application APPLICANT INFORMATIONLast Name*First Name*M.I.*Date* MM slash DD slash YYYY Street Address*Apartment/Unit #City*State*ZIP*Phone*E-mail Address* Date Available*Marital Status:*Desired Salary*Position Applied for*Which location you want to apply for*Are you a citizen of the United States?* YES NO If no, are you authorized to work in the U.S.?* YES NO Have you ever worked for this company?* YES NO If so, when?Have you ever been convicted of a felony?* YES NO If yes, explainEDUCATIONHigh School*AddressFromToDid you graduate? YES NO DegreeCollegeAddressFromToDid you graduate? YES NO DegreeOtherAddressFromToDid you graduate? YES NO DegreeREFERENCES Please list three professional references.Full Name*Relationship*Company*Phone*AddressFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressEmergency Contact:Phone:Relationship:Address:PREVIOUS EMPLOYMENTCompany*Phone*Address*Supervisor*Job Title*Starting Salary $Ending Salary $ResponsibilitiesFrom*To*Reason for LeavingMay we contact your previous supervisor for a reference?* YES NO CompanyPhoneAddressSupervisorJob TitleStarting Salary $Ending Salary $ResponsibilitiesFromToReason for LeavingMay we contact your previous supervisor for a reference? YES NO CompanyPhoneAddressSupervisorJob TitleStarting Salary $Ending Salary $ResponsibilitiesFromToReason for LeavingMay we contact your previous supervisor for a reference? YES NO MILITARY SERVICEBranchFromToRank at DischargeType of DischargeIf other than honorable, explainDISCLAIMER AND SIGNATUREI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature*Date* MM slash DD slash YYYY Δ
