Bixby Employment Opportunities


Complete this form to apply for employment at Cruise-In Auto Spa in Bixby, Oklahoma.

 
Name *
Name
Your Name
Your Name
Phone
Phone
Address
Address
Birthdate
Birthdate
If necessary for the job, are you over the age of
Please check one
Are you legally eligible for employment in the USA?
If yes, verification will be required.
If necessary for the job, are you able to work overtime?
EDUCATION
May include grammar school.
MILITARY SERVICE
Military Service
REFERENCES:
List two personal references who are not relatives or former supervisors.
Reference Name 1
Reference Name 1
Address
Address
Phone
Phone
Reference Name 2
Reference Name 2
Address
Address
Phone
Phone
EMPLOYMENT:
List last employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary (following this section}, or use an extra sheet of paper if necessary.
Employer 1 Name
Employer 1 Name
Address
Address
Supervisor's Name
Supervisor's Name
Phone
Phone
from / to
Employer 2 Name
Employer 2 Name
Address
Address
Supervisor's Name
Supervisor's Name
Phone
Phone
from / to
Employer 3 Name
Employer 3 Name
Address
Address
Supervisor's Name
Supervisor's Name
Phone
Phone
from / to
Employer 4 Name
Employer 4 Name
Address
Address
Supervisor's Name
Supervisor's Name
Phone
Phone
Per minute
EMERGENCY CONTACT
In case of accident or illness, please contact:
Name
Name
Address
Address
Phone
Phone
AVAILABILITY
Please complete start and end times for each day of the week including any days that you are unavailable.
Start Time / Stop Time
Start Time / Stop Time
Start Time / Stop Time
Start Time / Stop Time
Start Time / Stop Time
Start Time / Stop Time
Start Time / Stop Time
AGREEMENT & SIGNATURE
Agreement *
Information to the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.
Signature *
Signature
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide will have no affect on your application for employment.
Date *
Date