Employment

All Star Power Wash Employment Application

PERSONAL
First Name*
Last Name*
Street Address*
City*
State*
Zip*
Home Telephone*
Business Telephone*
Have you ever applied for employment with us?*
- Yes
- No
Will you work overtime if asked?*
- Yes
- No
Apart from absence for religious observance, are you available for full-time work?*
- Yes
- No
What hours can you work?*
Are you legally eligible for employment in the United States?*
- Yes
- No
Are you over 18 years of age?*
- Yes
- No
Pay Expected*
When will you be available to begin work?*
Other special training or skills (machine operation, driver’s license, etc.)*
Position Desired*
If you belong to a union, state which one.*
EDUCATION
College/ Business/ Trade / Technical
Course of Study
Name and Location of school
No. of Years Completed
Did you graduate?
- Yes
- No
Degree or Diploma
High School
Name and Location of school
No. of Years Completed
Did you graduate?
- Yes
- No
Degree or Diploma
Elementary
Name and Location of school
No. of Years Completed
Did you graduate?
- Yes
- No
Degree or Diploma
MILITARY
Did you serve in the U.S. Armed Forces?
- Yes
- No
If “Yes”, in what Branch?
Describe any training received relevant to the position for which you are applying.
EMPLOYMENT

*Start with your present or most recent employer.
Company Name
Telephone
Address
Employed From (month and year)
Employed To (month and year)
Weekly pay start
Weekly pay last
Name of Supervisor
Reason for Leaving
State Job Title and Describe Your Work
Do Not Contact

*We may contact the employers listed above unless you indicate those you do not want us to contact.
Company Name(s):
Reason:
State names of relatives and friends working for us.
May we ask these people about you?
- Yes
- No
REFERENCES
PERSON
BUSINESS
PHONE
SIGNATURE

The information provided in this Application for mployment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer-reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.
Date
Signature
FOR EMPLOYER’S USE ONLY
INTERVIEW RESULTS/REFERENCE CHECK
Interviewer Name and Comments

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Employment

Employment

All Star Power Wash Employment Application

PERSONAL

EDUCATION

College/ Business/ Trade / Technical

High School

Elementary

MILITARY

EMPLOYMENT

Do Not Contact

REFERENCES

PERSON

BUSINESS

PHONE

SIGNATURE

FOR EMPLOYER’S USE ONLY

INTERVIEW RESULTS/REFERENCE CHECK

Navigation

Contact