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Home
Wash Help
LifeWater
About
About Us
Locations
Standards
Testimonials
Frequently Asked Questions
Gift Card Reload
Washes
Contact
Contact Us
Facebook
Jobs
Feedback
Gift Cards
VIP Club
Customer Service Specialist/ Reception
Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Phone Number:
(###)
###
####
Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you currently employed?
*
Yes
No
What is your present occupation?
*
What is your anticipated hourly wage?
*
Available to Start Employment:
*
MM
DD
YYYY
Highest Level of Education:
*
Referred By:
We require that you maintain a positive mental attitude with staff and customers whenever you are at work. Do you feel that you will be able to do this?
*
Yes
No
If hired, are you willing to submit and pass a controlled substance test?
*
Yes
No
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
Yes
No
If yes, please explain.
*
Employment - Please list two previous places of employment:
Business Name:
Supervisor's Name:
First Name
Last Name
Employer's Phone Number:
(###)
###
####
May we call for a reference?
Yes
No
Length Of Employment:
*
Employer 2
Business Name:
Supervisor's Name:
First Name
Last Name
Employer's Phone Number:
(###)
###
####
May we call for a reference?
Yes
No
Length of Employment:
*
References - please list at least two references (other than family):
Name:
*
First Name
Last Name
Position/Occupation:
*
Phone Number:
*
(###)
###
####
May we call for a reference?
*
Yes
No
Name:
*
First Name
Last Name
Position/Occupation:
*
Phone Number:
*
(###)
###
####
May we call for a reference?
*
Yes
No
Thank you!
