Application for Employment Personal Information First Name (required) Last Name (required) Email (required) Phone Address City State Zip Are you 18 years or older? YesNo Are you a US citizen or authorized to work in the U.S.? YesNo Employment Desired Position Date you can start Are you employed now? If so can we contact your current employer? Have you ever Applied to this company before? If so, when did you apply? Who have you been referred by? Education List Name/location of schools, if you graduated, and subjects studied. General Information Special Skills Activities (Civil, Athletic, etc) US Military or Navel Service and rank National Guard or Reserves Former Employers List dates of employment, name and address, salary, position, and reason for leaving . Which of the jobs did you like best? What did you like the most about this job? References 3 references of people you have known for at least a year. List name, address, phone, business, and years acquanited. By submitting this form I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on the application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed about to give you any and all information concerning my previous employment and any pertinent information they may have and release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if hired my employment is for no definite period and may regardless of the date of payment of my wages and salary be terminate at any time without prior notice and without cause. Ottawa Auto Spa 119 W. Stevenson Ottawa, Illinois 61350 Phone: 815-313-5858