Seneca Area Employment Application [] 1 Step 1 PERSONAL INFORMATION First Name0 / Last Name0 / Social Security number0 / Street Address0 / Statepick one!AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Home Phone0 / Cell Phone0 / Emaila valid email DESIRED EMPLOYMENT Date you can start Desired Starting Pay How many hours per week do you want to work? Days you are unable to workLeave Blank if you available everyday Do you have reliable transportation?pick one!YesNo Are you at least 16 years old?pick one!YesNo Are you currently employed?pick one!YesNo May we contact your current employer?pick one!YesNo Ever applied to the company before?pick one!YesNo If so, when? SKILLS AND EXPERIENCE Please list any special qualifications, training education, skills, or experience that you feel warrant consideration by the company.0 / EDUCATION Did you graduate from high school?pick one!YesNo Highest Level of Schooling CompletedPlease List WORK EXPERIENCE Name of Present or Last Employer Type of Business Address City Statepick one!AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Starting Date Leaving Date Starting Salary Final Salary Job Title Name of Supervisor Type of Jobpick one!Full timePart timeSeasonal Job Description and Responsibilities Explain reasons/circumstances for changing or wanting to change jobs.0 / If we contact this employer, would you expect them to say they would rehire you for the position you last held there?pick one!YesNo Explain0 / Employer’s Phone Number RESUME and other WORK HISTORY RESUMEuploadUpload RESUME OR WORK HISTORY0 / LEGAL Have you ever been convicted of a crime or pled “No Contest” on anything involving theft, dishonesty, violence, drugs, or endangerment of persons or property, whether resulting in incarceration, probation or a suspended or deferred sentence? pick one!YesNoPled No Contest AUTHORIZATION By signing this application for employment, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered. I authorize Premier Express Car Wash to investigate my education, employment experience, criminal conviction records, and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I release Premier Express Car Wash and its representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from such investigations. I understand my employment with Premier Express Car Wash is for no definite length of time. I understand my employment may be terminated at any time, with or without cause, at the option of Premier Express Car Wash or myself. I understand that no employee or representative of Premier Express Car Wash has any authority to make any agreement which is contrary to the foregoing. If accepted for employment, I agree to comply with all company policies and procedures, and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability. Signatureyour full name DateTodays Date Submit Application Previous Next
