Employment

Please print and fill out our employment application.

 

Elegant AutoWash, Inc 53 Grandin Road East, Maineville Oh 45039

 

AN EQUAL OPPORTUNITY EMPLOYER APPLICATION FOR EMPLOYMENT

PERSONAL DATA

 

_______________________________________________________________________

 

FIRST NAME MIDDLE LAST

 

_______________________________________________________________________

 

PRESENT ADDRESS IN FULL CITY STATE ZIP TELEPHONE

 

_______________________________________________________________________

 

PERMANENT ADDRESS (IF DIFFERENT) CITY STATE ZIP TELEPHONE

 

_______________________________________________________________________

 

ARE YOU LEGALLY AUTHORIZED YOUR VISA TYPE IF AVAILABLE VISA # AND EXPIRATION
DATE TO WORK IN THE UNITED STATES?

DO YOU HAVE A VALID DRIVERS LICENSE? o
Yes
o No

LICENSE NUMBER: __________ STATE: __________ EXPIRATION DATE: _________

HAVE YOU EVER BEEN CONVICTED OF OR SENTENCED FOR ANY VIOLATION OF THE LAW?
o Yes
o No

IF YES, GIVE FULL PARTICULARS.

(THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO
EMPLOYMENT):

_____________________________________________________________________________________________________

ARE YOU WILLING TO WORK ANY SHIFT, INCLUDING NIGHTS AND WEEKENDS?
o Yes
o No

HOW SOON FOLLOWING NOTIFICATION CAN YOU REPORT? ____________________

 

EDUCATION

 

_______________________________________________________________________

 

LAST HIGH SCHOOL ATTENDED/complete address

ATTENDED FROM ________/________ TO ________/________ GRADUATED?
o Yes
o No

 

_______________________________________________________________________

 

COLLEGE OR UNIVERSITY/complete address

ATTENDED FROM ________/________ TO ________/________ GRADUATED?
o Yes
o No

MAJOR _______________________________________________ DEGREE RECEIVED
_____________________

 

 

COLLEGE OR UNIVERSITY/complete address

ATTENDED FROM ________/________ TO ________/________ GRADUATED?
o Yes
o No

MAJOR _______________________________________________ DEGREE RECEIVED
_____________________

 

_______________________________________________________________________

 

OTHER (Technical, Vocation, Graduate, etc. complete address)

 

ATTENDED FROM ________/________ TO ________/________ GRADUATED?
o Yes
o No

MAJOR _______________________________________________ DEGREE RECEIVED
_____________________

IN WHAT LANGUAGES OTHER THAN ENGLISH CAN YOU CONVERSE?

________________________________ Fluent?
o Yes
o No

 

EMPLOYMENT HISTORY

 

IMPORTANT! STARTING WITH YOUR
PRESENT OR MOST RECENT EMPLOYER, LIST IN CONSECUTIVE ORDER ALL EMPLOYMENT AND
PERIODS OF UNEMPLOYMEN
T SINCE YOU GRADUATED FROM OR LAST ATTENDED HIGH
SCHOOL. ADDITIONAL EMPLOYMENT MAY BE LISTED ON A SEPARATE PAGE(S) IF NECESSARY.

 

PRESENT OR MOST RECENT EMPLOYER

_______________________________________________________________________

 

FULL NAME OF COMPANY TELEPHONE CURRENT SALARY –
_______________________________________________________________________

 

STREET ADDRESS CITY STATE ZIP CODE

 

______________________________________________________________________

 

NAME & TITLE OF SUPERVISOR

 

_______________________________________________________________________

 

TITLE OF YOUR POSITION DEPARTMENT

 

_______________________________________________________________________

 

DUTIES

 

_______________________________________________________________________

 

REASON FOR LEAVING EMPLOYMENT START DATE END DATE

 

PREVIOUS EMPLOYER

_______________________________________________________________________

 

FULL NAME OF COMPANY TELEPHONE SALARY –

 

_______________________________________________________________________

 

STREET ADDRESS CITY STATE ZIP CODE

 

_______________________________________________________________________

 

NAME & TITLE OF SUPERVISOR

 

_______________________________________________________________________

 

TITLE OF YOUR POSITION DEPARTMENT

 

_______________________________________________________________________

 

DUTIES

 

_______________________________________________________________________

 

REASON FOR LEAVING EMPLOYMENT START DATE END DATE

PREVIOUS EMPLOYER

_______________________________________________________________________

 

FULL NAME OF COMPANY TELEPHONE SALARY – BEGIN/END FROM/TO

 

_______________________________________________________________________

 

STREET ADDRESS CITY STATE ZIP CODE

 

_______________________________________________________________________

 

NAME & TITLE OF SUPERVISOR

 

_______________________________________________________________________

 

TITLE OF YOUR POSITION DEPARTMENT

 

_______________________________________________________________________

 

DUTIES

 

_______________________________________________________________________

 

REASON FOR LEAVING EMPLOYMENT START DATE END DATE

LIST PART-TIME EMPLOYMENT WHILE IN SCHOOL, INCLUDING COMPANY NAME(S),
ADDRESSES, DATES OF EMPLOYMENT:

 

_______________________________________________________________________

_______________________________________________________________________

 

ARE THERE ANY PERIODS OF UNEMPLOYMENT AND/OR PART-TIME EMPLOYMENT SINCE YOU
GRADUATED OR LAST ATTENDED HIGH SCHOOL WHICH ARE NOT LISTED ABOVE OR ON A
SEPARATE SHEET? o
Yes
o No

IF YES, PLEASE EXPLAIN:
______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

HAVE YOU EVER BEEN SUSPENDED, PLACED ON PROBATION, ASKED TO RESIGN,
DISCHARGED. OR

TERMINATED? o
Yes
o No

IF YES, PLEASE EXPLAIN:

______________________________________________________________________________________________________

 

SKILLS

 

TYPING SPEED (WORDS/MINUTE) ____________

WORD PROCESSING/OFFICE PROGRAMS USED
___________________________________________

 

INDICATE EXPERIENCE IN YEARS AND MONTHS FOR EACH AREA:

ACCOUNTING ____________ BOOKKEEPING____________ COMPUTER____________

PAYROLL____________ ADDING MACHINE____________ STATISTICS ____________

LIST ANY OTHER SKILLS YOU THINK MAY BE OF VALUE TO THE COMPANY, SUCH AS
PROGRAMMING, ETC.

___________________________________________________________________________________________________

 

MILITARY SERVICE AND STATUS

 

BRANCH OF SERVICE (IF NONE, STATE NONE): ____________________

MILITARY OCCUPATION: _____________________________________

DATE OF ENTRY INTO ACTIVE DUTY: __________/__________ DATE OF SEPARATION:
__________/_________

(MONTH/YEAR) (MONTH/YEAR)

RANK AT THE TIME OF SEPARATION: _____________________

 

PLEASE NOTE: FINAL PROCESSING PRIOR TO EMPLOYMENT WILL REQUIRE
A REVIEW OF THE ORIGINAL OR A COPY OF YOUR MILITARY DISCHARGE AND/OR A REVIEW OF
YOUR DD FORM 214.

 

APPLICANT’S CERTIFICATION AND AGREEMENT

 

I HEREBY CERTIFY that my answers to the foregoing questions are true and
complete and that I have not knowingly withheld any facts, circumstances or
other information which would, if disclosed, affect my application. I further
understand that any false or misleading statement or omission of pertinent
information will result in the rejection of my application, or in dismissal if
discovered subsequent to my employment.

I HEREBY AFFIRM that by execution of the application, I acknowledge that the
Company has disclosed to me that an Investigative Consumer Report, including
information as to my character, general reputation, personal characteristics,
and mode of living may be made; and that I, upon written request to the Company
made within a reasonable time after the date of this application, may obtain a
complete and accurate disclosure of the nature and scope of the investigation
requested.

I HEREBY AUTHORIZE the Company to request, and I ALSO AUTHORIZE AND REQUEST
each former employer, school attended, and each person, firm, or corporation
given as references above, to furnish at any time, any information which may be
sought concerning me and my work habits, character or skill, and any other data
required, whether in connection with this application or for purposes of
complying with surety company requirements or otherwise.

I HEREBY AFFIRM that by submitting this application I agree to submit to
medical evaluations and/or examinations, including tests for the presence of
illegal drugs or alcohol, prior to and during employment, within a time period
prescribed by the Company and as often as directed during employment.

I HEREBY AUTHORIZE the medical examiner to disclose to the Company any and
all findings and conclusions arrived at in any examination performed either
prior to employment or during employment.

I UNDERSTAND that should I be given employment, such employment shall be for
an indefinite period of time and may be terminated, at will, at anytime, for any
reason, by me or by the Company without notice or without liability whatsoever,
except for unpaid wages or salary earned by the date of termination. I further
understand that only the CEO/President of the Company has the authority to enter
into any agreement for employment for a specified period of time or to make any
agreement contrary to this at will standard and that any such agreement must be
in writing.

I UNDERSTAND that if I am employed, the terms and conditions of my employment
will be governed by this application and the Company’s Terms of Employment and
Policy and Procedures, as amended from time to time by the Company.

The Company operates under the principles of affording equal employment
opportunity through affirmative action for qualified handicapped individuals,
qualified veterans of the Vietnam era and qualified disabled veterans.

All applicants and employees who believe themselves to be members of one or
more of these groups, and who wish to identify themselves as such for the
purpose of affirmative action consideration are invited to do so.

Submission of this information is voluntary and refusal to provide it will
not subject you to discharge or disciplinary treatment. Information obtained
concerning individuals shall be kept confidential, except that (1) supervisors
and managers may be informed regarding disabled veterans and handicapped
individuals, as necessary, (2) first aid and safety personnel may be informed,
when and to the extent appropriate, if the condition might require emergency
treatment, and (3) governmental officials investigating compliance will be
informed.

I wish to volunteer the following information (check one)
o I do not qualify

I do qualify under the following: o
Handicapped

o Vietnam Era
Veteran

o Disabled
Veteran

 

Signature ________________________________________ Date ________________

 

Thank you for completing this application. It will remain under consideration
for six months. It will not be necessary for you to reapply during this six
month period.