WCCW Employment Application Form

Central Car Wash : Employment Application Form
Personal Information:
Full Name *

First Name Middle Name Last Name
Address (Optional):

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number (Optional):

Area Code Phone Number
E-Mail (Optional):
A copy of your application will be sent to this address
Are you legally entitled to work in Canada?

Yes No
We're sorry, based on the information provided we are unable to consider your application for employment.
Are you atleast 16 years of age?

Yes No
Have you completed the Saskatchewan Worker Readiness Program? *

Yes No
Work Availability:
Are there any restrictions in your ongoing availability to work (e.g. - School, 2nd job, Leave of absence) ?

Yes No
Tell us more about your availability to work : *

Regular Availability *

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Availability

How many hours would you like to work per week? *
Date You Can Start *

Month Day Year
Desired Rate
$ / Hour
Qualifications & References:
How would you like to tell us more about yourself? *

Provide qualifications & references using this form Attach a resume to this form Drop off a resume in person
Education:
High School
Name of High School Attended
Graduated?

Yes
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Salary
Reason for Leaving?
Start Date

Month Day Year
May We Contact?

Yes No
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

Month Day Year
End Date

Month Day Year
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Attach your Resume:
Resume
Send Application:
TERMS OF EMPLOYMENT: By clicking the submit button below, I certify that all of the information provided on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and am fully aware that my employment is subject to a 12 week probationary period where my employment may be terminated, with or without cause, and with or without notice, at any time. *

I have read & agree to the above Terms of Employment
Signature *

Clear
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Central Car Wash : Employment Application Form

Personal Information:

Work Availability:

Qualifications & References:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Attach your Resume:

Send Application: