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Emergency Contact Information

Emergency Contact Full Name

Emergency Contact Phone Number

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Position

Do you have reliable transportation to work? Yes No

Are you willing to work weekends and holidays? Yes No

Have you ever worked for B&C Car Wash before? Yes No

Are you looking for a summer job or year round? Summer Year Round

If you know any employees that currently work here, please list them here

Times available to work each day

Unavailable Mondays

Mondays available from...

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Unavailable Wednesdays

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Unavailable Sundays

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Any sports or activities that we would need to schedule around? If so, please list?

Referral Source

If Other, please explain

Personal References

List two personal references not related to you and not employed by B&C Car Wash

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Full Name

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Education

Highest grade completed

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Employment History #1

Most recent or current employer

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Employment History #2

Employer Company Name

Supervisor

Employer Address

Employer City

Employer Phone

Starting Salary / Hourly Wage

Present or Last Salary / Hourly Wage

Start Date

End Date

Type of work performed

Reason for leaving

Military Experience

Armed Forces Type Army Navy Marines Air Force Coast Guard National Guard

Dates of service from...

Military Rank

Key skills acquired NOTE: If you served in the US Armed Forces, briefly describe the skills you acquired:

Additional Information

If applicable, please list all languages spoken other than English

Are you legally authorized to work in the United States? Yes No

Do you have a current valid drivers license? Yes No

Please Note: Answering YES to the below questions does not automatically disqualify you for employment.

Have you ever pled "guilty" or "no contest" to a crime or been convicted of a crime? Yes No

If yes, please give date and details

Have you ever been convicted of a DUI or DWI Yes No

If Yes, please specify date

Employment Application Agreement

I agree to the terms of this employment application Yes No

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About B&C Car Wash

B&C Car Wash was established in the Spring of 2017 by brothers, Bryan and Colin Nagy. We grew up as car enthusiasts with a passion for German cars. Our interest in cars was instilled in us through our father who raced and was an active member of a few car clubs....

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B&C Car Wash of Middlesex, NJ

Contact Us

Address: 513 Bound Brook Rd., Middlesex NJ
Phone: 732-474-0009
Email: carwashbnc@gmail.com

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