DEL REY CLEANERS - "We Discount Price...
Del Rey Cleaners Employment Application
What position are you applying for?
Which Location are your applying for a postion at:
Full Name
Street Address
City
State
Zip
Home Phone
Cell Phone
E-Mail Address
Social Security Number
Date Available to Start
Salary Requirements
Days Available to Work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are there any time frames you are not able to work during the week? (i.e. I have school 8am - 3:30pm M-F)
Have you ever worked for this company?
Yes
No
If so, when was your last hire date?
Are you legally allowed to work in the United States?
Yes
No
Type of employment desired.
Full Time
Part Time
Temporary
Seasonal
Have you ever been convicted of a crime? Answering "Yes" to this question does not constitue an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Yes
No
If so, please indicate the date.
If so, please provide details of the conviction.
Driver's License Number (Delivery Driver only)
Educational History - Please provide details.
Summarize your special skills or other qualifications.
Previous Employement History. Please begin with the most recent.
A. Company Name
A. Position Held
A. Start Date
A. End Date
A. Company / Contact Number
A. Responsibilities:
A. Reason for Leaving
A. May we contact this employer for a reference?
Yes
No
B. Company Name
B. Position Held
B. Start Date
B. End Date
B. Company / Contact Number
B. Responsibilities:
B. Reason for Leaving
B. May we contact this employer for a reference?
Yes
No
C. Company Name
C. Position Held
C. Start Date
C. End Date
C. Company / Contact Number
C. Responsibilities:
C. Reason For Leaving
May we contact this employer for a reference?
Yes
No
"By providing my intials in the following line, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employement and any pertinent information they may have, personal or othewise, and release the company from all liabilty for any damage that may result from utilzation of such information. I also understand and agree thqat no representative of the company has any authority to enter into any agreement for employement for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disability Act (ADA) and other relevent federal and state laws."