Job Application Form
Complete thoroughly and submit for consideration. Status inquiries may be directed to 330-272-5589 or washclub@roguewaveauto.com.

IMPORTANT: WORKING PAPERS OR A CERTIFICATE OF AGE MAY BE REQUIRED BEFORE HIRING.
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Email *
NAME
First Name  M.I.  Last Name:
 *
ADDRESS
Street Address, Apt/Unit #
City, State  ZIP Code
 *
PHONE NUMBER(S): *
EMAIL ADDRESS: *
SOCIAL SECURITY NO.: *
DATE AVAILABLE TO START: *
MM
/
DD
/
YYYY
DESIRED SALARY:
$/Hour
 *
ARE YOU A CITIZEN OF THE UNITED STATES? *
  IF NO, ARE YOU ATHORIZED TO WORK IN THE U.S.?
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HAVE YOU EVER WORKED FOR ROGUE WAVE AUTO WASH? *
  IF YES, WHEN?
HIGH SCHOOL
  NAME & ADRESS:
 *
  DATES ATTENDED (From - To):
 *
  DID YOU GRADUATE:
 *
COLLEGE
  NAME & ADRESS:
  DATES ATTENDED (From - To):
  DID YOU GRADUATE:
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   DEGREE OBTAINED:
"OTHER" SCHOOL
  NAME & ADRESS:
  DATES ATTENDED (From - To):
  DID YOU GRADUATE?
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   DEGREE OBTAINED:
PROVIDE THREE PROFESSIONAL REFERENCES
1) FULL NAME & PHONE NUMBER:
 *
  RELATIONSHIP:
 *
  COMPANY NAME & ADDRESS: *
2) FULL NAME & PHONE NUMBER:
  RELATIONSHIP:
  COMPANY NAME & ADDRESS:
3) FULL NAME & PHONE NUMBER:
  RELATIONSHIP:
  COMPANY NAME & ADDRESS:
PREVIOUS EMPLOYMENT (LAST THREE JOBS)
1) COMPANY NAME & ADDRESS:
 *
  SUPERVISOR'S TITLE, FULL NAME & PHONE NUMBER:
 *
  JOB TITLE & RESPONSIBILITIES:
 *
  DATES EMPLOYED (From - To): *
  REASON FOR LEAVING:
 *
  MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
 *
2) COMPANY NAME & ADDRESS:
  SUPERVISOR'S TITLE, FULL NAME & PHONE NUMBER:
  JOB TITLE & RESPONSIBILITIES:
  DATES EMPLOYED (From - To):
  REASON FOR LEAVING:
  MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
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3) COMPANY NAME & ADDRESS:
  SUPERVISOR'S TITLE, FULL NAME & PHONE NUMBER:
  JOB TITLE & RESPONSIBILITIES:
 DATES EMPLOYED (From - To):
  REASON FOR LEAVING:
  MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
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MILITARY SERVICE
  BRANCH:
  DATES OF SERVICE (From - To):
  RANK AT DISCHARGE:
  TYPE OF DISCHARGE:
  IF LESS THAN HONORABLE DISCHARGE, EXPLAIN:
WHAT TYPE OF EMPLOYMENT ARE YOU AVAILABLE FOR? *
  IF PART-TIME, HOW MANY HOURS ARE YOU LOOKING TO WORK?
SCHEDULE AVAILABILITY
  MONDAY: FROM WHAT TIME TO WHAT TIME?
  TUESDAY: FROM WHAT TIME TO WHAT TIME?
  WEDNESDAY: FROM WHAT TIME TO WHAT TIME?
  THURSDAY: FROM WHAT TIME TO WHAT TIME?
  FRIDAY: FROM WHAT TIME TO WHAT TIME?
  SATURDAY: FROM WHAT TIME TO WHAT TIME?
  SUNDAY: FROM WHAT TIME TO WHAT TIME?
DISCLAIMER AND ELECTRONIC SIGNATURE:
By submitting this, I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
DATE:
 *
MM
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DD
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YYYY
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