Employment Application

LOCATION

1024 S Riverside Ave
Medford OR 97501

Call: (541) 608-2885

Download Application PDF

Online Employment Application

First Name

Middle

Last Name

Address

City

State

Zip

Primary Phone:

email:

Secondary Phone:

EMPLOYMENT INFORMATION

Are You Currently Employed?

YES

Name of Employer

How Long Have You Been With Current Employer?

Current Salary

If offered the job, when can you start here?

If hired can you show proof of legal right to work in the U.S.?

Have you ever been dismissed or asked to resign from any position?

If YES, Please explain:

EDUCATION

High School:

Subjects:

Graduated?

College:

Subjects

Graduated?

EMPLOYMENT EXPERIENCE

EMPLOYER NAME & ADDRESS:

Position Held

Start & End Dates

EMPLOYER NAME & ADDRESS:

Position Held

Start & End Dates

EMPLOYER NAME & ADDRESS:

Position Held

Start & End Dates

REFERENCES

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

I certify that any and all statements made herein and submitted via this online form are true and correct to the best of my knowledge. I authorize the investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.

Todays Date:

Employment Application

LOCATION

Online Employment Application

EMPLOYMENT INFORMATION

EDUCATION

EMPLOYMENT EXPERIENCE

REFERENCES

Title

LOCATION

Castrol Premium Lube Express

Quench and Drench Exterior Car Wash

Quench and Drench Full Service Plus