Application Form EMPLOYMENT APPLICATION Applicant Information Location * Panama City Beach #128 First Name * Middle Name Last Name * Date * Address * Address Street Address/ Unit number Street Address/ Unit number Address Line 2 (optional) Address Line 2 (optional) City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code/Postal Zip Code/Postal Phone * Email * Birth Date * Can you, after employment, submit verification of your legal right to work in US? * Yes No Please explain: * Do you have reliable transportation? * Yes No Please explain: * Do you have a valid driver’s license? * Yes No Please explain: * Have you ever been convicted of a crime? * Yes No Please explain: * Previous Employment Have you ever been employed before? * Yes No Company * Phone Number * Address, City, State, ZIP * Supervisor * Job Title * Hourly Rate * $ Dates employed From * To * Were you let go? * Yes No Reason for leaving? Add Remove Education High School * Address, City, State, ZIP * College Address, City, State, ZIP * Have you graduated? * Yes No Year Graduated Expected Graduation Year Trade School or Other Address, City, State, ZIP * Have you graduated? * Yes No Year Graduated Expected Graduation Year Availability Date you can start: * Wages Desired (Hourly Rate) * $ Are you looking for full or part time employment? * Full Time Part Time We are open 7 days a week. Can you work weekends? * Yes No How far do you live from this car wash? Please check the shifts you are available to work. (8am-7pm winter / 7am-8pm summer) Morning * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Not available Evening * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Not available Comment Position Requested For which position are you applying? * Customer Service Agent: Seeking energetic, Hard working, Enthusiastic People – No experience required. Shift Supervisor: Carwash or Retail experience required, Professional, Enthusiastic, Motivated Site Manager: Management Experience Required, Dedication, Hard working, Positive motivator reCAPTCHA If you are human, leave this field blank. Submit Δ
