ScrubaDub Auto Wash Centers

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ScrubaDub Employment Application

Qualified applicants for employment with ScrubaDub shall be given equal consideration on the basis of merit without regard to race, color, age, creed, religion, mental or physical handicaps, sex or national origin. This company is an equal opportunity employer.
* First Name
  		 Middle Init.
 		  * Last Name
 
* Address
 		 * City
 		 * State
 
* Social Security #
 		 * Phone #
 		 * Email
 
* Are you over the age of 18?
 Yes    No		 * Are you legally able to work in the U.S.?
Yes    No
* Location Applying For
 		 * When can you Start?
 
* Position Applying For
 		 Full Time    Part Time
* Have you previously applied at or been employed at ScrubaDub?
 No    Yes
 If yes, which location and when?
 
 
School Name & Location of School Years Attended Graduate? Course/Subject of Study
& Degree
 Elementary Yes
No
 Middle Yes
No
 High Yes
No
 College/  Tech Yes
No
 Other Yes
No
* Military Service: In Armed Forces of the United States or State National Guard. Are you a Veteran?
No    Yes
 Yes, Branch
 		  Rank Responsibilities
 
Please list any other information you think would be helpful to us in considering you for employment such as activities, accomplishments, etc. Please exclude all information indicative of age, sex, race, religion, color, national origin or disability.
Work History: List all Present and Past Employment beginning with the most recent.
May we contact your present employer? Yes No
Employer
 Dates Employed Hourly Rate or Salary
Address
 From (m/y)
 To (m/y)
 Starting
$		 Final
$
Phone
     Supervisor
 Job Title
 per
 per
Full Time Part Time Temp Work Performed
Reason For Leaving (Please Explain)
Employer
 Dates Employed Hourly Rate or Salary
Address
 From (m/y)
 To (m/y)
 Starting
$		 Final
$
Phone
     Supervisor
 Job Title
 per
 per
Full Time Part Time Temp Work Performed
Reason For Leaving (Please Explain)
Employer
 Dates Employed Hourly Rate or Salary
Address
 From (m/y)
 To (m/y)
 Starting
$		 Final
$
Phone
     Supervisor
 Job Title
 per
 per
Full Time Part Time Temp Work Performed
Employer
 Dates Employed Hourly Rate or Salary
Address
 From (m/y)
 To (m/y)
 Starting
$		 Final
$
Phone
     Supervisor
 Job Title
 per
 per
Full Time Part Time Temp Work Performed
Reason For Leaving (Please Explain)
The Manager will discuss with you the essential job duties. At that time you will be asked if you are capable of performing the essential functions of the job with or without reasonable accommodation. Additionally, should you require any accommodation to complete this application, please contact us at (508) 650-1155.

The facts set forth above in this application for employment are true and complete. I understand that if I am employed, false statements on this application shall be considered cause for dismissal. I understand that this application is not a contract for employment and I understand that if I am employed, the employment relationship may be severed with or without advance notice and with or without stated reason.

  I understand and agree to the above disclosure statement.


 
ScrubaDub Auto Wash Centers • 172 Worcester Rd • Natick, MA 01760 • (508) 650-1155
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17 Locations Serving Boston and the communities around Boston, Worcester, Portland, South Portland & Biddeford ME, Salem NH and Warwick RI.