Employment Application Full Name: * Email: * Street Address: * City * State * Zip Code * Telephone Number: * Are you legally authorized to work in the United States?YesNo Have you been convicted of a felony?YesNo If yes, what? * Are you 18 years old or older?YesNo If not, please give your date of birth: * What position are you applying for? * If you are hired, when can you start work? * What days and times can you work? * Can you speak English fluently? * Can you speak Spanish fluently? * Have you worked in a laundry before? *YesNo Dates: * EDUCATION High School Name of School: Location: Number of years attended: Did you graduate?YesNo Date of graduation: College Name of School: Location: Number of years attended: Did you graduate?YesNo Date of graduation What degree did you earn? EMPLOYMENT HISTORY Beginning with your most recent employment and working back in time, please give the following information: Employer 1 Employer: Address: Telephone Number required: Job Title: Duties: Starting Date of Employment: Ending Date of Employment: Starting Rate / Salary: Ending Rate/Salary : Supervisor: Reason for Leaving: Employer 2 Employer: Address: Telephone Number required: Job Title: Duties: Starting Date of Employment: Ending Date of Employment: Starting Rate / Salary: Ending Rate/Salary : Supervisor: Reason for Leaving: Employer 3 Employer: Address: Telephone Number required: Job Title: Duties: Starting Date of Employment: Ending Date of Employment: Starting Rate / Salary: Ending Rate/Salary : Supervisor: Reason for Leaving: PERSONAL REFERENCES Please provide the names of two references who have not employed you and are not related to you. Reference 1 Name: Address: Telephone Number: Relationship: Reference 2 Name: Address: Telephone Number: Relationship: ADDITIONAL QUALIFICATIONS Please tell us about any other training, education, skills or achievements that you feel should be considered. CUSTOMER SERVICE Customer service is our top priority. Have you had any customer service experience where you worked one-on-one with customers? Please explain: My answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge. Date: Applicant's Signature: Which is bigger, 22 or 81? Please leave this field empty.
