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Application Form

Personal Information

Full Name

Email Address

Phone

Birth Date

Street Address

City

State

Postal Code

Emergency Contact Information

Emergency Contact Full Name

Emergency Contact Phone Number

Emergency Contact Email Address

Position

Do you have reliable transportation to work? Yes No

Are you willing to work weekends and holidays? Yes No

Have you ever worked for SpeedClean Car Wash before? Yes No

Are you looking for a summer job or year round? Summer Year Round

If you know any employees that currently work here, please list them here

Times available to work each day

Unavailable Mondays

Mondays available from...

Unavailable Tuesdays

Tuesdays available from...

Unavailable Wednesdays

Wednesdays available from...

Unavailable Thursdays

Thursdays available from...

Unavailable Fridays

Fridays available from...

Unavailable Saturdays

Saturdays available from...

Unavailable Sundays

Sundays available from...

Any sports or activities that we would need to schedule around? If so, please list?

Referral Source

If Other, please explain

Personal References

List two personal references not related to you and not employed by SpeedClean Car Wash

Full Name

Relationship

Email Address

Phone Number

Full Name

Relationship

Email Address

Phone Number

Education

Highest grade completed

Name of last school attended

Employment History #1

Most recent or current employer

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Employment History #2

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Military Experience

Armed Forces Type Army Navy Marines Air Force Coast Guard National Guard

Dates of service from...

Military Rank

Key skills acquired NOTE: If you served in the US Armed Forces, briefly describe the skills you acquired:

Additional Information

If applicable, please list all languages spoken other than English

Are you legally authorized to work in the United States? Yes No

Do you have a current valid drivers license? Yes No

Please 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, please give date and details

Have you ever been convicted of a DUI or DWI Yes No

If Yes, please specify date

Employment Application Agreement

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I agree to the terms of this employment application Yes No

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SpeedClean Car Wash

About SpeedClean Car Wash

SpeedClean Car Wash is a family-owned business dedicated to bringing valuable services to our local community. We offer consistent and high quality Express and Full Service Car Wash packages...

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Franchise Opportunities

SpeedClean Car Wash offers Franchise or Custom Branded opportunities for new investors who are looking at getting into the Car Wash business in the North American region.

If you're interested in finding out more, please contact us at 1-817-263-9274 or click here to fill out our Franchise Opportunity Request Form.