Application for Employment First Name Last Name Street Address City State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Phone Email Address If hired, what date would you be available for work? If you made the schedule, how many hours per week would you schedule yourself? Are you seeking: Are you seeking: Part Time Full Time Either Monday Monday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Tuesday Tuesday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Wednesday Wednesday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Thursday Thursday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Friday Friday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Saturday Saturday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available Sunday Sunday Anytime 7-11 AM 11AM - 4 PM 4 – 8 PM Not Available High School Course of Study/Degree or Diploma Did you Graduate? Did you Graduate? Yes No Business/Trade/Technical Course of Study/Degree or Diploma Did you Graduate? Did you Graduate? Yes No College Course of Study/Degree or Diploma Did you Graduate? Did you Graduate? Yes No May we contact your present employer? May we contact your present employer? Yes No Company Name Telephone Address Employed From To Job Title and duties performed Supervisor Reason for Leaving Company Name Telephone Address Employed From To Job Title and duties performed Supervisor Reason for Leaving Company Name Telephone Address Employed From To Job Title and duties performed Supervisor Reason for Leaving Experience Licenses Certifications Training Did you serve in the U.S. Armed Forces? Did you serve in the U.S. Armed Forces? Yes No Which Branch? Describe any training received relevant to the position for which you are applying I understand that I will be required to pass a pre-employment drug screen, and if hired, I will be subject to Edge Express Car Wash’s drug and alcohol testing policy during my employment. I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize EDGE Express Car Wash to thoroughly investigate my references, work record, education and any other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liablities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is "at will" for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative. Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgement) be conducted by internal personnel employed by the Company, I am entitled to copies of any such public records obtained by the Company unless I mark the check box below. If I am not hired as a results of such information, I am entitled to a copy of any such records even though I have checked the box below. I waive receipt of a copy of any public records described in the paragraph above. I waive receipt of a copy of any public records described in the paragraph above. I Agree Date Applicant's Signature 3 + 8 = Submit