Employment - Xpress Car Wash

First Name
LastName
Phone
Email
Address
City
Zip
May we call you at work?
- Yes
- No
Will you accept?
- Full - Time
- Part - Time
- Temporary
- Night
- Saturdays
- Sundays
How did you find out about this position?
- Newspaper
- Friend
- Employee
- EDD
- Other
Are you over 18 years of age? (If no, a work permit or proof of emancipation will be required.)
- Yes
- No
Do you have a valid California driver's license? (A current motor vehicle report may be required if driving is necessary for the position for which you are applying.)
- Yes
- No
Can you provide proof after you are hired that you can legally work in the United States? (If hired, you will be required to submit proof of the legal right to work in the United States.
- Yes
- No
Can you, with or without accommodation, perform all of the essential functions of the job for which you are applying?
- Yes
- No

Name and location of schools (high school, college, trade, business or correspondence).

1.
Name
Location
Subject
Degree
2.
Name
Location
Subject
Degree
3.
Name
Location
Subject
Degree
2. Special Training: List below any training you have had which may help to qualify you for the position for which you are applying. Include trade, vocational, military, etc. Indicate type of training, where acquired, dates and whether you completed it successfully.
Special training box
3. Licenses/Certificates: List any licenses or certificates you have which may help to qualify you for the position for which you are applying. Include driver's license, typing, steno or software certificates, professional registration, etc.
Traiining
Title
state
Number
2.Languages: List any experience you have which may help to qualify you for the position for which you are applying.
Language

Special Training: List below any training you have had which may help to qualify you for the position for which you are applying. Include trade, vocational, military, etc. Indicate type of training, where acquired, dates and whether you completed it successfully.

1
Name
To
Employee type
- Full-Time
- Part-Time
Hrs. per Week
May we contact this employer?
- Yes
- No
Employer Name
Employer Phone
Employer Address
2
Name
Title
Employee Type
- Full-Time
- Part-Time
Hrs. Per Week
May we contact this employer?
- Yes
- No
Employer Name
Employer Phone
Employer Address

Name
Phone
Relationship
Name
Phone
Relationship
Name
Phone
Relationship

Special Training: List below any training you have had which may help to qualify you for the position for which you are applying. Include trade, vocational, military, etc. Indicate type of training, where acquired, dates and whether you completed it successfully.
1. I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
2. I understand, where permissible under applicable law, I may be subject to a drug test after receiving a conditional offer of employment, and must receive a negative result before being permitted to commence work with Xpress Car Wash.
3. I understand, where permissible under applicable law, I may be subject to a medical examination after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with Xpress Car Wash.
4. I authorize Xpress Car Wash and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools, and other persons named on this application to provide any information or transcripts requested.
5. I understand employment with Xpress Car Wash is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
6. I expressly understand and agree that either Xpress Car Wash or I may terminate my employment relationship with Xpress Car Wash at any time, with or without cause or notice.
7. I understand that no representation, whether oral or written, by any representative or agent of Xpress Car Wash, at any time, can constitute an implied or expressed contract of employment. I further understand no representative or agent of Xpress Car Wash has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit, or other terms or condition of employment other than in a document signed by the Owner of Xpress Car Wash or his/her authorized representative
8. I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification or material omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.
9. I understand an offer of employment is conditioned upon complying with all of Xpress Car Wash's requirements including, but not limited to, signing any requested consent for Xpress Car Wash to conduct an investigation or obtain a report about my background.
  We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, physical or mental disabilities, or any other legally protected status.