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    Personal Information

    Position Applying For (required)

    Desired Location (required)
    ParksideNorthshoreKingstone PikeAny Location

    First and Last Name (required)

    Address (required)

    City (required)

    State (required)

    Zip (required)

    Your Email (required)

    Your Phone (required)

    If you are under 18, and it is required, can you furnish a work permit? (required)
    YesNo

    If no, explain

    Are you legally eligible for employment in this country? (required)
    YesNo

    Have you ever been employed at Crown Cleaners before (required)
    YesNo

    If yes, start date

    end date

    Date available to start work (required)

    Desired Salary Range

    Type of employment desired (required)

    Have you ever pled "guilty" or "no contest" to or been convicted of a crime? (required)
    YesNo

    If yes, please provide dates and details

    Driver's License number (required)

    State (required)

    Employment History

    Employer

    From (mm/dd/yyy)+ to (mm/dd/yyyy)

    Address

    Phone number

    Starting job title

    Ending job title

    Starting salary

    Ending salary

    Direct Supervisor

    May we contact for reference? (required)
    YesNo

    Summarize the nature of work performed and job responsibilities.

    Reason for leaving

    Employer

    From (mm/dd/yyy)+ to (mm/dd/yyyy)

    Address

    Phone number

    Starting job title

    Ending job title

    Starting salary

    Ending salary

    Direct Supervisor

    May we contact for reference? (required)
    YesNo

    Summarize the nature of work performed and job responsibilities.

    Reason for leaving

    Employer

    From (mm/dd/yyy)+ to (mm/dd/yyyy)

    Address

    Phone number

    Starting job title

    Ending job title

    Starting salary

    Ending salary

    Direct Supervisor

    May we contact for reference? (required)
    YesNo

    Summarize the nature of work performed and job responsibilities.

    Reason for leaving

    References

    First and last name

    Title

    Phone number

    Email

    First and last name

    Title

    Phone number

    Email

    First and last name

    Title

    Phone number

    Email

    Skills and Qualifications

    Summarize your training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

    Education

    High School

    Number of years completed

    Did you graduate?
    YesNo

    Degree

    Other

    Application Statement

    I certify that all information I have provided in order to apply for and secure work with Crown Cleaners is true, complete and correct.

    I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from Prestige Cleaners' service, whenever it is discovered.

    I expressly authorize, without reservation, Crown Cleaners, its representatives, employees or agents to contact and obtain information from all references (personal and professional) employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive and and all rights and claims I may have regarding Crown Cleaners, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

    I understand that Crown Cleaners does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

    I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard form Crown Cleaners and still wish to be considered for employment, it will be necessary to reapply and complete a new application.

    If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and Crown Cleaners reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any special period or definite duration. I understand that no supervisor or representative of Crown Cleaners is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by Crown Cleaners' president.

    I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigrations laws require me to complete an I-9 Form in this regard.

    I have read and understand the Application Statement above. (required)
    YesNo

    Date (required)

    Applicant Name (Digital Signature)

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