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Autoshine Car Wash Employment Application

Please download the W-4 tax form and fill it out to submit at the bottom of this form.

Download W-4 Form

Contact Us

Name:

Date of Birth:

Address:

Phone Number:

Emergency Contact Name:

Emergency Contact Phone Number:

Are you a United States Citizen?

Yes

No

Have you ever been convicted of a misdemeanor or Felony?

Yes

No

If yes, please explain:

Do you have a Driver's License?

Yes

No

License Number:

State of Residence:

Can you drive vehicles with both automatic and manual transmissions?

Yes

No

Previous Employer:

Previous Employer Phone:

Employment Start Date

Employment Date End

Reason for Leaving:

W-4

Thank you for contacting us.
We will get back to you as soon as possible

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a b c d e f g h i j k l m n o - Do not remove from template!!! it is important to support different fonts

(912) 754-3825

lancec@colemancarwashconcepts.com

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