Application For Employment

Personal Information

Full Name (required)

Current Address

Permanent Address

Telephone Number

Driver's License #

Are you 20 years of age or older? YESNO

Age?

Your Email (required)

Availability

Position Applying For

Date Available to Start

Desired number of hours per week

Would you prefer Full-TimePart-Time

Are you able to work holidays? YESNO

What days are you available? SundayMondayTuesdayWednesdayThursdayFridaySaturday

List the start and stop hours you are available for:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Employment History

Name of current employer

Dates of employment

Hourly pay rate

Current employer address

Current employer telephone number

Supervisor's Name

Current Job Duties

May we contact for a reference? YESNO

Name of previous employer

Dates of employment

Hourly pay rate

Position held

Duties performed

Previous employer address

Previous employer telephone number

Supervisor's Name

May we contact for a reference? YESNO

Education

What High School did you attend?

Degree / Area of Study?

Did you graduate? YESNO

What College did you attend?

Degree / Area of Study?

Did you graduate? YESNO

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? YESNO

Do you have a Commercial Driver's License (CDL)? YESNO

Do you have reliable transportation to and from work? YESNO

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

How did you hear about us?

Emergency Contact Information

Contact Name

Address

Telephone Number

Relationship to you?

Place of Employment

Address

Work Telephone Number

Equal Employment Opportunity Questions

Gender MaleFemale

Race Black or African AmericanHispanic or LatinoWhiteNational HI or other Pacific IslandAsianAmerican IndianOther

Veteran: Not a veteranDisabled VeteranVietnam VeteranOther Veteran

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 to the terms of this application and certify that all information is true and correct (CLICK HERE TO ACCEPT TERMS)

After you click submit, please wait until you receive a confirmation message that your application has been submitted. If you made errors in your entries, the items that need to be corrected will be displayed before your application will be submitted.