Job Application

    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:

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