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 WHITE'S MOBILE DETAIL, INC.
1515 Bellevue Ave Suite 308
Seattle, WA 98122
PHONE: (206)-423-7333
   

EMPLOYMENT APPLICATION FORM
Please fill out all fields.
 
White's Mobile Detail, Inc. provides equal opportunity in all areas of employment and does not discriminate against any individual on the basis of race, color, religion, sex, age, national origin, marital status, or handicap. In order to maintain a drug-free work environment, all applicants must successfully pass a substance abuse screen prior to employment.
 
Date: Social Security Number
Name (first, middle, last):
Current Address:
City: State: Zip Code:
Home Phone (include area code): Work Phone (include area code):
If under age 18, please list age: Are you legally able to work in this country?   Yes     No   
Position desired:
Salary Desired: Employment desired: Temporary Part Time Full Time
Hours Available: Days Available:
Date Available:    
Names of any relatives currently employed by this company:
Have you ever been employed by or applied for employment with this company?  Yes     No
How did you learn about this opening? Job search     Employee     Advertisement   
Other
Do you have any physical handicaps which would prevent you from performing the specific kind of work for which you are applying?  Yes     No
If yes to above question, please describe:
Have you ever been convicted of a crime?   Yes     No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:
Under what name will your school transcripts be listed?
Type of School Years Completed Name and Address of School Graduated? (give degree)
High School
College
Bus. or Trade School
Professional School
Do you have a driver's license?  Yes     No Driver's License Number:
State Issued: Type of License: Operator CDL Chauffeur Expiration Date on License:
Have you had any vehicle accidents in the last three years?  Yes     No How Many?
Have you had any moving violations in the last three years?  Yes     No How Many?
What machines or equipment can you operate?
Qualification, experience and/or training:
Employment History (please list your four most recent employers)
Employer 1
Company Name Address
City & State Phone Number
Kind of Work
Date Started Date Left
Salary Starting Salary Ending
Name of Supervisor Reason for Leaving
May we check this reference? Yes     No
Employer 2
Company Name Address
City & State Phone Number
Kind of Work
Date Started Date Left
Salary Starting Salary Ending
Name of Supervisor Reason for Leaving
May we check this reference? Yes     No
Employer 3
Company Name Address
City & State Phone Number
Kind of Work
Date Started Date Left
Salary Starting Salary Ending
Name of Supervisor Reason for Leaving
May we check this reference? Yes     No
Employer 4
Company Name Address
City & State Phone Number
Kind of Work
Date Started Date Left
Salary Starting Salary Ending
Name of Supervisor Reason for Leaving
May we check this reference? Yes     No
   
 
  PLEASE READ CAREFULLY BEFORE SUBMITTING THIS APPLICATION
   
 

1. I certify that the information contained in this application is correct to the best of my knowledge and that any material misrepresentation is grounds for dismissal from the employ of White's Mobile Detail, Inc. Or rejection of my application for employment.
 

2. I authorize my former employers and any other persons or organizations to provide any accurate and current information they have about my background, and I release all concerned from any liability in connection therewith.
 

3. I agree that any future offer of employment is contingent upon my passing a substance abuse screening if required by White's Mobile Detail, Inc. I further agree that in the event of reasonable suspicion of my being under the influence of a substance of abuse, I will submit to a substance abuse screen.
 

4. I understand and agree that the first ninety (90) days of employment will be considered a probationary period. I further understand and agree that employment may be terminated at any time by either myself or White's Mobile Detail, Inc.
  By checking this box, I agree to the terms described above:
      
  Please press submit only once.