PDQ Car Wash - Employment

PDQ Car Wash Employment Application

Employees are subject to pre-employment drug testing

Qualified applicants for employment with PDQ Car Washes & Express Lubes shall be given equal consideration on the basis of merit without regard to race, color, age, creed, religion, mental or physical handicaps, sex or national origin. This company is an equal opportunity employer.

* Denotes required field

* First Name

Middle

* Last

* Present Address

* Social Security #

* Phone

* Are you over the age of 18?
Yes No

* Are you legally able to work in the U.S.?
Yes No

* Location Applying For
* Position Applying For	* Full Time Part Time	* When can you start?

* Have you previously applied at or been employed at PDQ Car Wash/Carefree Car Wash/PDQ Xpress Lube?
No Yes

If yes, which location and when?

School	Name & Location of School	Years Attended	Graduate?	Course/Subject of Study and Degree
Elementary			Yes No
Middle			Yes No
High			Yes No
College/ Tech			Yes No
Other			Yes No

* Military Service: In Armed Forces of the United States or State National Guard. Are you a Veteran? No Yes
Yes, Branch	Rank Responsibilities

* Have you ever been convicted of a crime or currently subject to a pending arrest?
No Yes, please describe
(A conviction and/or pending arrest will not necessarily be a bar for employment. Only those convictions pending arrest which substantially related to the circumstances of the position applied for disqualify an applicant.)

Please list any other information you think would be helpful to us in considering you for employment such as activities, accomplishments, etc. Please exclude all information indicative of age, sex, race, religion, color, national origin or disability.

Work History: List all Present and Past Employment beginning with the most recent.
May we contact your present employer? Yes No

Employer

Dates Employed

Hourly Rate or Salary

Address

From (m/y)

To (m/y)

Starting
$

Final
$

Phone

Supervisor

Job Title

per

Full Time Part Time Temp

Work Performed

Reason For Leaving (Please Explain)

Employer

Dates Employed

Hourly Rate or Salary

Address

From (m/y)

To (m/y)

Starting
$

Final
$

Phone

Supervisor

Job Title

per

Full Time Part Time Temp

Work Performed

Reason For Leaving (Please Explain)

Employer

Dates Employed

Hourly Rate or Salary

Address

From (m/y)

To (m/y)

Starting
$

Final
$

Phone

Supervisor

Job Title

per

Full Time Part Time Temp

Work Performed

Reason For Leaving (Please Explain)

Employer

Dates Employed

Hourly Rate or Salary

Address

From (m/y)

To (m/y)

Starting
$

Final
$

Phone

Supervisor

Job Title

per

Full Time Part Time Temp

Work Performed

Reason For Leaving (Please Explain)

The Manager will discuss with you the essential job duties. At that time you will be asked if you are capable of performing the essential functions of the job with or without reasonable accomodation. Additionally, should you require any accomodation to complete this application, please contact us at (920) 983-8111.

The facts set forth above in this application for employment are true and complete. I understand that if I am employed, false statements on this application shall be considered cause for dismissal. I understand that this application is not a contract for employment and I understand that if I am employed, the employment relationship may be severed with or wihout advance notice and with or without stated reason.

I understand and agree to the above disclosure statement.

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