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Splash & Dash Car Wash is an Express car wash that prides itself on customer service.
We are dedicated to providing each vehicle with the attention it deserves! We provide a quality wash in a
timely manner. We are currently accepting Applications, if you feel you would be an asset to our company, apply today.

    Application For Employment

    Last Name
    First Name
    Middle Initial
    Phone #
    Email
    Address
    City
    State
    Zip Code

    Position Applying for:
    Type of Employment
    Expected Pay
    Date available to start
    Have you ever worked for Splash & Dash Car Wash?
    Do any of your relatives work (or have worked) for Splash & Dash Car Wash?
       If yes, Name of relative:
    Relationship

    Education

    Grammar School
    Name of School:
    Address:
    Last Year Completed:
    Last Year Attended:
    Major:

    High School
    Name of School:
    Address:
    Last Year Completed:
    Last Year Attended:
    Major:

    College/Tech School
    Name of School:
    Address:
    Last Year Completed:
    Last Year Attended:
    Major:

    Graduate
    Name of School:
    Address:
    Last Year Completed:
    Last Year Attended:
    Major:

    Membership in professional or civic organization. (Exclude any that may disclose your race, religion, or national origin):

    Employment History

    List entire employment history, with the most current employer first.

    Employer 1
    Address
    Phone #
    Dates Employed
    Supervisor
    Rate of Pay
    (Starting)
    (Ending)
    Job Title
    Description of Work
    Reason for Leaving
    May We Contact?

    Employer 2
    Address
    Phone #
    Dates Employed
    Supervisor
    Rate of Pay
    (Starting)
    (Ending)
    Job Title
    Description of Work
    Reason for Leaving
    May We Contact?

    Employer 3
    Address
    Phone #
    Dates Employed
    Supervisor
    Rate of Pay
    (Starting)
    (Ending)
    Job Title
    Description of Work
    Reason for Leaving
    May We Contact?

    Personal References

    List three people that are not related to you that we may contact for a reference.

    1. Name
    Address
    Phone
    Occupation
    Number of years known

    2. Name
    Address
    Phone
    Occupation
    Number of years known

    3. Name
    Address
    Phone
    Occupation
    Number of years known

    Have you ever been discharged by any company?
        If yes, explain:
    Have you ever been convicted of a crime (excluding minor traffic citations)?
        If yes, explain:
    Are you legally eligible for employment in the U.S.?
    Are you of legal age to work in the U.S.?
    Do you have any kind of medical condition that might prevent you from performing the job in which you are applying?
        If yes, explain:

    I understand that Splash & Dash Car Wash has a commitment to maintain an alcohol/drug-free workplace and requires a drug screening test as part of its selection and hiring process. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug testing under certain circumstances during my employment. Initial here

    I hereby authorize Splash & Dash Car Wash and/or its agents to make an independent investigation of my background, references, character, past employment, education, credit history, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for employment.
    I release Splash & Dash Car Wash and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used.
    The following is my true and complete legal name and all information is true and correct to the best of my knowledge. I agree that false or omitted information may disqualify me for employment with this company. If falsification is discovered at a later date once employed, I understand it may be grounds for dismissal. Initial here

    Splash & Dash Car Wash is an Equal Opportunity Employer, and does not discriminate of the basis of Sex, Race, Color, Religion, Age, Disability, Veteran Status or National Origin.

    Electronic Signature
    Date