Employment Application

PERSONAL INFORMATION:

First Name:	Middle Name:	Last Name:

Address:


City:		State:	Zip:

Social Security Number:		Date of Birth:

Your E-Mail Address:		Your Phone Number:

Federal Law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

STORE YOU WISH TO WORK: Click all that apply.

	406 W. Francis, Spokane - Washington
	2736 N. Division, Spokane - Washington
	12515 E. Sprague, Spokane Valley - Washington
	10606 N. Newport Hwy., Spokane - Washington

POSITION APPLYING FOR:

1. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify.

2. Do you have any relatives who are presently (or have formerly been) employed by ProFormance Lube Center? Please specify.

3. How were you referred to ProFormance Lube Center? Please specify.

4. Have you ever been convicted of a felony?

EDUCATIONAL HISTORY:

Elementary/Jr. High. Please provide school name, location and years completed.

High School. Please provide school name, location and years completed.

College. Please provide school name, location, years completed and Degree if acquired.

Technical Training. Please provide school name, location, years completed and Degree if acquired.

Other.

EMPLOYMENT HISTORY: (Current or most recent employer)

Company Name:
Address:
Phone Number:
Position Held:
Dates Employed:
Wage/Salary:
Reason for Leaving:
EMPLOYMENT HISTORY: (Employment history prior to employer listed above)
Company Name:
Address:
Phone Number:
Position Held:
Dates Employed:
Wage/Salary:
Reason for Leaving:
REFERENCES 1:
Name:
Address:
Years Known:
Telephone:
REFERENCES 2:
Name:
Address:
Years Known:
Telephone:
REFERENCES 3:
Name:
Address:
Years Known:
Telephone:
WORK AVAILABILITY:
1. If your application receives favorable consideration, when will you be available to begin work?

2. Do you have any objection to working overtime?

3. Can you work overtime without prior notice?

4. Can you work on Saturday?

5. Can you work on Sunday?

6. Can you travel if required by this position?


By clicking the send button below you authorize all corporations, companies, credit agencies, educational institutions, persons, law enforcement agencies, military services and former employers to release information they may have about me to ProFormance Lube Center or its agents and releases them from any liability or responsibility from doing so. Further, I authorize the procurement of an investigative consumer report and understand that such a report may contain information about my background, character and personal reputation, I understand that this notice will also apply to any future update reports that may be requested.

COMMENTS: Please provide additional information you may deem important.