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Personal InformationName *Email Address *Phone *Birth Date0 / 10Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmergency Contact InformationFull NamePhoneEmail AddressPositionDo you have reliable transportation to work?YesNoAre you willing to work weekends and holidays? *YesNoHave you ever worked for Fitzy's Car & Pet Wash before? *YesNoAre you looking for a summer job or year round? *SummerYear RoundIf you know any employees that currently work here, please list them here:Times Available To Work Each DayCheckMondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundaysMonday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMTuesday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMWednesday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMThursday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMFriday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMSaturday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMSunday AvailabilityFromHoursMinutesAMPMToHoursMinutesAMPMAny sports or activities that we would need to schedule around? If so, please list?Referral SourceReferral Sourceplease select...AdvertismentFriendNow Hiring SignOtherIf other, please explain:Personal ReferencesList two personal references not related to you and not employed by Fitzy's Car & Pet WashName *Relationship *Email Address *Phone *Name *Relationship *Email Address *Phone *EducationHighest grade completed *Name of last school attended *Employment History #1Most recent or current employerEmployer Company NameSupervisorEmployer AddressEmployer CityEmployer StateEmployer PhoneStarting Salary / Hourly WagePresent or Last Salary / Hourly WageStart DateEnd DateType of work performedReason for leavingEmployment History #2Employer Company NameSupervisorEmployer AddressEmployer CityEmployer StateEmployer PhoneStarting Salary / Hourly WagePresent or Last Salary / Hourly WageStart DateEnd DateType of work performedReason for leavingMilitary ExperienceDid you serve in the military? *YesNoArmed Forces TypeArmyNavyMarinesAir ForceCoast GuardNational GuardDates of service from...toMilitary RankKey skills acquiredAdditional InformationPlease Note: Answering YES to the below questions does not automatically disqualify you for employment.If applicable, please list all languages spoken other than EnglishAre you legally authorized to work in the United States? *YesNoDo you have a current valid drivers license? *YesNoHave you ever pled "guilty" or "no contest" to a crime or been convicted of a crime? *YesNoIf yes, please give date and detailsHave you ever been convicted of a DUI or DWI? *YesNoIf yes, please specify dateEmployment Application AgreementI agree to the terms of this employment application: *I certify that the answers given by me to the foregoing questions and statements are true and correct to the best of my knowledge without consequential omissions of any kind. I agree that the Company shall not be held liable in any respect if my employment is rejected or subsequently terminated because of false statements, answers or omissions made by me in this application. I understand that any misleading or incorrect statements may render this application void, and if employed, may lead to employment termination. I understand that a medical examination based on the requirements of the position for which I am being considered may be required, and drug testing may be included as part of the regular pre-employment physical. I also voluntarily and knowingly authorize the companies, schools or persons named above to give any information requested regarding my former employment, character and qualifications. I hereby voluntarily and knowingly fully release and discharge, absolve, indemnify, and hold harmless said companies, schools or persons from any and all liability for any damages for issuing this information, except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment, which the party disclosing such facts knows to be untrue. In consideration of my employment, I agree to conform to the rules and regulations of this organization. I understand that employment with Fitzy's Car & Pet Wash is at-will, meaning that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either my employer or myself. While employment policies or procedures may change from time to time, only a written agreement signed by the company's president can change the employee's at-will status. Send Message