Courtesy Valet Parking Services - Application

Application For Employment


Personal Information
Last Name First Name Middle Name  
 
Present Address City State ZIP
Permanent Address City State ZIP
Phone Number Driver's License # SSN  
Are you 20 years of age or older?
Age
Email Address

Availability
Position Applying for    Date Available to Start
Desired number of hours per week    Full-time Part-time
are you willing to work holidays?
Yes No
Check days available   Mon Tue Wed Thu Fri Sat Sun
Hours available each day a.m.
  p.m.

Employment History
List employment, starting with your most recent position. Account for any time during this period in which you were unemployed by stating the nature of your activities. If you have no prior employment history, include personal references to be contacted.

May we contact your present/past employer? Yes No
Employer Dates Position / Title Hourly Rate (Starting / Final)
Address City State ZIP Phone Number
Supervisor Reason for Leaving Duties Performed
Employer Dates Position / Title Hourly Rate (Starting / Final)
Address City State ZIP Phone Number
Supervisor Reason for Leaving Duties Performed

Education
School   Name / Location of School   Degree/Area of Study   Years   Graduated?
High School  
Yes No   | GPA  
College
Yes No   | GPA  

Miscellaneous
Is there any additional information involving a change of your name or assumed name that will permit us to check your work record? If yes, please explain.


Has a division of Courtesy Valet Corp. ever employed you? If yes, where and when?


List names of friends and relatives now employed by Courtesy Valet Corp..


Have you ever been convicted of a misdemeanor? If yes, please explain.


Have you ever been convicted of a felony? If yes, please explain.


Have you ever received a traffic violation? If yes, please explain.


Can you drive a manual transmission?
Yes   No


Do you have a Commercial Driver’s License (CDL)?
Yes   No


Do you have reliable transportation to and from work?
Yes   No


Have any present clients of Courtesy Valet Corp. ever employed you? If yes, where and when?


How did you hear about us?

Emergency Contact
Full Name Address Phone Number Relationship to you?
Place of Employment Address Phone Number  
 

Equal Employment Opportunity Questions

Gender:

Race:

Veteran:



Disabled:

Completing These Fields Is Optional
If you complete this information, it may allow Courtesy Valet Corp. to comply with equal employment opportunity requirements. If you choose not to provide this information, you will not be subject to any adverse treatment from employers and your decision will have no impact on any potential hiring decision.

Please Read This Statement Carefully
I hereby affirm that the information given by me on this application for employment is complete and accurate. I understand that any falsification will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application. I further understand that I have a right to make a written request within a reasonable period of time for a complete and accurate disclosure of the nature and scope of the investigation. If I am hired, I agree that my employment and compensation can be terminated with or without cause and without notice at any time, at the option of Courtesy Valet Corp. or myself.

I Agree