POSITION DESIRED: PERMANENT HOURLY LOCATION: - Please Select - Tracy, CA Santa Cruz, CA

PERSONAL

NAME:   FIRST NAME MIDDLE NAME LAST NAME EMAIL ADDRESS: SOCIAL SECURITY NO.: CA DRIVER'S LICENSE NO.: ADDRESS:   STREET APT. NUMBER CITY     STATE ZIP CODE PHONE NUMBER ARE YOU 18 YEARS OR OLDER? YES NO IF NO, DATE OF BIRTH: IS YOUR CITIZENSHIP/IMMIGRATION STATUS SUCH THAT YOU CAN LAWFULLY WORK IN THE U.S.? Yes No EMPLOYMENT IS DEPENDENT UPON PROOF OF CITIZENSHIP, EMPLOYMENT AUTHORIZATION, OR PRESENTATION OF AN ALIEN REGISTRATION NUMBER.

EDUCATION

SCHOOL MOST RECENTLY ATTENDED:   NAME LOCATION GRADUATED? YES NO IF NO, LAST GRADE COMPLETED: NOW ENROLLED? YES NO   SPORTS OR ACTIVITIES:

WORK EXPERIENCE

THREE MOST RECENT JOBS WITHIN THE LAST FIVE YEARS

1. COMPANY: ADDRESS/PHONE: DATES WORKED: FROM: TO: SUPERVISOR: 2. COMPANY: ADDRESS/PHONE: DATES WORKED: FROM: TO: SUPERVISOR: 3. COMPANY: ADDRESS/PHONE: DATES WORKED: FROM: TO: SUPERVISOR:

GENERAL

TOTAL HOURS AVAILABLE PER WEEK

MON TUES WED THURS FRI SAT SUN FROM TO CARWASH EXPERIENCE? YES NO IF YES, WHERE AND WHEN? DATE AVAILABLE TO START: HAVE YOU BEEN DISCIPLINED FOR ABSENCE OR TARDINESS BY ANY OF YOUR PREVIOUS EMPLOYERS? Yes No IF YES, PROVIDE DETAILS: HAVE YOU EVER BEEN DISCHARGED OR ASKED TO LEAVE BY ANY OF YOUR PREVIOUS EMPLOYERS? Yes No IF YES, PROVIDE DETAILS: WITHIN THE PAST FIVE YEARS HAVE YOU BEEN CONVICTED, PLED GUILTY, OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OTHER THAN A TRAVEL VIOLATION? Yes No IF YES, PROVIDE DETAILS:

IN COMPLETING THIS APPLICATION, I UNDERSTAND THAT IT IS VERY IMPORTANT THAT I BE COMPLETELY TRUTHFUL. I REALIZE THAT MASTER CARWASH IS RELYING ON MY TRUTHFULNESS. I AGREE THAT IF IT SHOULD BE DISCOVERED THAT THE INFORMATION I AM PROVIDING IS INACCURATE, MISLEADING OR INCOMPLETE IN ANY RESPECT, I WILL BE DISQUALIFIED FOR EMPLOYMENT OR, IF I HAVE ALREADY BEEN HIRED, MY EMPLOYMENT WILL BE TERMINATED IMMEDIATELY. I UNDERSTAND AND AGREE THAT IF I SHOULD BECOME EMPLOYED BY MASTER CAR WASH, I WILL HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME FOR ANY REASON, OR FOR NO REASON. I FURTHER AGREE THAT MASTER CAR WASH SHALL HAVE THE SAME RIGHT TO TERMINATE MY EMPLOYMENT. MY EMPLOYMENT AT-WILL STATUS CANNOT BE MODIFIED UNLESS SUCH MODIFICATION IS SET FORTH IN WRITING IN A DOCUMENT SIGNED BY BOTH ME AND THE OWNER OF MASTER CAR WASH. I HAVE READ AND UNDERSTOOD THE FOREGOING. I AM SEEKING EMPLOYMENT AT MASTER CAR WASH UNDER THE TERMS AND CONDITIONS SET FORTH HEREIN. I CERTIFY AND DECLARE THAT ALL OF THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT. I hereby agree to the above Terms and Conditions