Employment Application PERSONAL INFORMATION First Name Last Name Address City State Zip Phone Email Are you legally eligible to work in the US? -Select One- Yes No Referred by Name of employee you are related to, if any. POSITION Position you are applying for. -Select One- Wash Specialist Lube Technician Auto Mechanic Assistant Manager Manager Date you can start. Hourly Wage Expected Are you currently employed? -Select One- Yes No Days/Time you are available to work. EDUCATION Enter schools attended, starting with high school. High School School Name City, State Year Graduated or will Graduate College / Other School Name City, State Year Graduated or will Graduate Major College / Other School Name City, State Year Graduated or will Graduate Major Organizations, Clubs, Groups, Teams, etc. you are a member of. REFERENCES Provide at least two persons not related to you who have known you for at least one year. Reference 1 Name Phone Relationship Years Acquainted Reference 2 Name Phone Relationship Years Acquainted Reference 3 Name Phone Relationship Years Acquainted EMPLOYMENT HISTORY Please enter your last five employers with the most recent one first. Employer 1 Company Name Job Position Time Employed month / year you started and ended. Reason for Leaving Work Phone Ending Hourly Pay Address City State Zip Employer 2 Company Name Job Position Time Employed month / year you started and ended. Reason for Leaving Work Phone Ending Hourly Pay Address City State Zip Employer 3 Company Name Job Position Time Employed month / year you started and ended. Reason for Leaving Work Phone Ending Hourly Pay Address City State Zip Employer 4 Company Name Job Position Time Employed month / year you started and ended. Reason for Leaving Work Phone Ending Hourly Pay Address City State Zip Employer 5 Company Name Job Position Time Employed month / year you started and ended. Reason for Leaving Work Phone Ending Hourly Pay Address City State Zip OTHER INFORMATIONAnything else you want us to know about you. SIGNATURE DISCLAIMER I certify that the information provided in this application for employment is true, correct, and complete. If employed, any misstatements or omission of facts on this document may result in my dismissal. I understand that acceptance of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I authorize you to conduct an investigation of my credit and personal history. If a report is obtained, you must provide, at my request, the name of the agency so I may review the nature and substance of the information in the report.
