Employment Application

An Equal Employment Opportunity Employer

All applicants are subject to drug testing. If you use illegal drugs please do not apply.

Please complete all fields

Personal Information
First Name:  
Last Name:
Address:
City:
State:
Zip:
Home Phone:   xxx-xxx-xxxx
Cell Phone:   xxx-xxx-xxxx
Email:
 
Position
Position applying for:
Date available to start:  xx/xx/xxxx
How many hours/week do you want to work?
What is your transportation to work?
Are you willing to work weekends and holidays?  YES    NO
Have you ever worked for Greenhill Car Wash before?
Do you know anyone working here now?  YES    NO
If yes, explain
 
Times available to work each day
Please lists times available to work each day.

If unavailable, enter N/A.
Sunday  to 
Monday  to 
Tuesday  to 
Wednesday  to 
Thursday  to 
Friday  to 
Saturday  to 
 
Referral Source
How did you hear about Greenhill Car Wash?
If Other, explain
 
Personal References

List two personal references not related to you and not employed by
Greenhill Car Wash
Name:  
Relationship:
Phone:   xxx-xxx-xxxx
Email:
Name:  
Relationship:
Phone:   xxx-xxx-xxxx
Email:
 
Education
Highest grade completed:
Name of last school attended:  
 
Work History

(Use additional sheets, if necessary; attach resume, if available)
Current or Last Employer:  
Address:
Position:
Supervisor’s Name:
Phone:
Dates of Employment:  to  xx/xx/xxxx
Salary/Rate of Pay:
Responsibilities:
Reason for Leaving:
 
Work History
Employer:  
Address:
Position:
Supervisor’s Name:
Phone:
Dates of Employment:  to  xx/xx/xxxx
Salary/Rate of Pay:
Responsibilities:
Reason for Leaving:
 
Military Service:
Have you served in the Armed Forces of the United States or the State National Guard.  YES    NO  
If yes, dates:  to  xx/xx/xxxx
Rank and Responsibilities:
Are you a veteran?  YES    NO  
If yes, which conflict?
 
Additonal Information:
Do you speak a language in addition to English  YES    NO  
If yes, which language:
Are you legally authorized to work in the United States?  YES    NO  
Do you have a current valid driver’s license?  YES    NO  
License No.
State:
Expiration Date:  xx/xx/xxxx
Note: Answering YES to the below questions does not automatically disqualify you for employment.
Have you ever pled "guilty" or "no contest" to a crime or been convicted of a crime?  YES    NO  
If yes, give date and details:  xx/xx/xxxx
Have you ever been convicted of a DUI or DWI?  YES    NO  
If yes, Date:  xx/xx/xxxx

I certify that all information contained in this application is correct to the best of my knowledge and understand that falsification of any information is grounds for dismissal. I authorize the employers listed above to give you any and all information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing such information to you. In consideration of employment at Greenhill Car Wash, employee agrees to conform to the policies and rules of Greenhill Car Wash in effect from time to time. Greenhill Car Wash and employee also agree that employee’s employment and compensation can be terminated, with or without cause, and without prior notice, at any time, at the option of either employee or employer.
Please indicate your acceptance of the above conditions by initialing here: