Careers at Splash Auto Spa Car Wash

Personal Information

Full Name

Email Address

Phone

Birth Date

Street Address

City

State

Postal Code

Emergency Contact Information

Emergency Contact Full Name

Emergency Contact Phone Number

Emergency Contact Email Address

Position

Please select at least one or more locations you will be available to work at Splash Auto Spa - Shirley, NY Splash -N- Dash Express - Mastic, NY

Do you have reliable transportation to work? Yes No

Are you willing to work weekends and holidays? Yes No

Have you ever worked for Splash Auto Spa Car Wash of Shirley, NY before? Yes No

Are you looking for a summer job or year round? Summer Year Round

If you know any employees that currently work here, please list them here

Times available to work each day

Unavailable Mondays

Mondays available from...

Unavailable Tuesdays

Tuesdays available from...

Unavailable Wednesdays

Wednesdays available from...

Unavailable Thursdays

Thursdays available from...

Unavailable Fridays

Fridays available from...

Unavailable Saturdays

Saturdays available from...

Unavailable Sundays

Sundays available from...

Any sports or activities that we would need to schedule around? If so, please list?

Referral Source

If Other, please explain

Personal References

List two personal references not related to you and not employed by Splash Auto Spa Car Wash of Shirley, NY

Full Name

Relationship

Email Address

Phone Number

Full Name

Relationship

Email Address

Phone Number

Education

Highest grade completed

Name of last school attended

Employment History #1

Most recent or current employer

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Employment History #2

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Military Experience

Armed Forces Type Army Navy Marines Air Force Coast Guard National Guard

Dates of service from...

Military Rank

Key skills acquired NOTE: If you served in the US Armed Forces, briefly describe the skills you acquired:

Additional Information

If applicable, please list all languages spoken other than English

Are you legally authorized to work in the United States? Yes No

Do you have a current valid drivers license? Yes No

Please Note: Answering YES to the below questions does not automatically disqualify you for employment.

Have you ever pled "guilty" or "no contest" to a crime or been convicted of a crime? Yes No

If yes, please give date and details

Have you ever been convicted of a DUI or DWI Yes No

If Yes, please specify date

Employment Application Agreement

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 Splash Auto Spa Car Wash of Shirley, NY 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.

I agree to the terms of this employment application Yes No