Personal Information *Name *Email
*Telephone *Street Address
* Soc. Security #
*City *State *Zip Code
*Are You 18 or Older? -Select One- Yes No
If NO then how old are you?
*Are you a citizen of U.S.? -Select One- Yes No
If NO, then do you have authorization to work in the U.S.? -Select One- Yes No
What prompted you to apply at Drive & Shine? --Select One-- Newspaper Friend / Relative School Placement Office Other
Current Drive & Shine Associate (Provide name of associate recommending you)

Employment Desired
*Position desired: *Date you can start:
Salary desired:
*Are you currently employed? -Select One- Yes No
*Current/Last Employer:
*Your current/last position
*Your immediate manager:
*Phone number of your immediate manager
*May we contact your current/last employer? -Select One- Yes No
*What do you most like about your current (or most recent) job and why?
*What do you least like about your current (or most recent) job and why?

Education History
*Grammar School *Years Attended
*High School *Years Attended
College Years Attended
Other Schooling Years Attended
Prior Work History
1. *From / *To
*Name & Address of Employer *Salary
*Position *Reason you left
2. *From / *To
*Name & Address of Employer *Salary
*Position *Reason you left

3. From / To
Name & Address of Employer Salary
Position Reason you left

4. From / To
Name & Address of Employer Salary
Position Reason you left

Availability
*Full or Part Time? -Select One- Full Part Time

Number of hours each week?
*Mon *Tues *Wed * Thus *Fri *Sat * Sun


Personal References(Please list three people, not related to you, that we may contact for a character reference)
*Name *Address
*Phone:

Applicant's Statement (Your Submission is Your Online Signature)
I understand that all employees of Drive & Shine ®, Inc. are employees at will and that the employment relationship can be terminated at any time, with or without cause, at either the option of the employee or the option of Drive & Shine ®, Inc. I understand that, as part of the hiring process, inquiries will be made to gain information regarding my character, general, and personal characteristics. This information will be gained through interviews with listed references, past employers, and review of law enforcement records. I authorize Drive & Shine ®, Inc. To verify past employment, education and to obtain a criminal background check (applicants 18 years and older) from the appropriate law enforcement agencies. I authorize the appropriate individuals, institutions or agencies to release information, and I release them, and Drive & Shine ®, Inc. from any liability as a result of such inquiries or disclosures.

Applicant Signature _____________________________ Date ________________

(Your Submission is Your Online Signature)
Notice to Applicant- We are an equal opportunity employer. In compliance with federal and state opportunity laws, qualified applicants are considered for all positions without regards to race, color, sex, national origin, age, military status, or disability, as defined by federal and state law. Thank you for your interest in working at Drive & Shine ®, Inc. If we have an opening we feel you might be able to fill, the manager of one of our locations will contact you. We will keep this application under consideration for 30 days. After 30 days, if you are still interested, you will need to reapply.
(Your Submission is Your Online Signature)