Libby's Clean & Shine                                                                                                                       (704) 791-3809
       
 
This is part ( 1 of 4 ) pages
PERSONAL INFORMATION
Name ( First, Middle Initial, Last )  
Date of Application
v
Address
City
State
Zip Code
Cell Phone
Home Phone
E-Mail
 
Date availiable to start
v
Employment desired
v
Position applied for
Date of Birth
v
Are you a citizen of the United States ?
v
If no, are you authorized to work in th US ?
v
Have you ever worked for this company before ?
v
If so, when ?
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Have you ever applied to this company before ?
v
If so, when ?
v
Are you employed ?
v
If no, explain
How long at present address ?
Do you have a valid Drivers License ?
v
Hourly wage expected
Have you ever been convicted of any law violation ( other than a minor traffic violation ) ? A Yes answer does not automatically disqualify you from employment since the nature, date, and job you are applying for will be considered. 
(Pick One )
v
If yes Explain
   
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