Applicant Name

Home Phone

Other

Email Address

Number and street

City

State & Zip

How were you referred to AZ PowerWash Pros?:

Position(s) applying for: Power Washer
Window Cleaner
Parking Lot Sweeper
Sales
Office
Management

Temporary work – such as summer or holiday work? Yes No

Regular part-time work? Yes No

Regular full-time work? Yes No

What days and hours are you available for work?

If temporary work, when will you be available?

If hired, on what date can you start working?

Can you work on the weekends? Yes No

Can you work evenings? Yes No

Are you available to work overtime? Yes No

Salary desired

Have you ever worked for a pressure washing company before? Yes Have you ever operated pressure washing equipment before? Yes No

If yes, please explain (include dates of employment)

If yes, please check the services you feel you are capable of performing with a pressure washer Flat Work (Pressure washing concrete, sidewalks, walkways, and store fronts)
Gum Removal (Removing gum off sidewalks without damaging the concrete)
Gutter Cleaning
Hood Cleaning
Vent Cleaning
Building and House Washing
Roof Cleaning
Fleet Washing
Window Cleaning with Squeegees
NONE OF THE ABOVE, BUT I AM WILLING TO LEARN

Do you have a valid Arizona Driver’s License? Yes No

Have you ever driven a truck? Yes No

Have you ever driven a truck with a trailer connected? Yes No

If hired, would you have transportation to/from work? Yes No

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) Yes No

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? Yes No

If hired, are you willing to submit to and pass a controlled substance test? Yes No

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? Yes No

Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes No

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

List your last three jobs, starting with your most current. If you are not currently employed, please fill in the company information and explanation of your unemployment:

Company Name

Position

Dates of Employment

Supervisor’s Name

Salary Start

Salary End

Ph. Number

Reason For Leaving:

Company Name

Position

Dates of Employment

Supervisor’s Name

Salary Start

Salary End

Ph. Number

Reason For Leaving:

Company Name

Position

Dates of Employment

Supervisor’s Name

Salary Start

Salary End

Ph. Number

Reason For Leaving:

School name

School address

School city, state, zip

Number of years completed

Did you graduate? Yes No

Degree / diploma earned

School name

School address

School city, state, zip

Number of years completed

Did you graduate? Yes No

Degree / diploma earned

Name

Address

City, state, zip

Number of years completed

Did you graduate? Yes No

Degree / diploma?

Branch

Rank in Military

Total Years of Service

Skills/duties

Related details

Do you speak, write or understand any foreign languages? Yes No

If yes, describe which languages(s) and how fluent of a speaker you consider yourself to be.

*Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us? Yes No

If yes, please explain

List three references, other than those listed in your previous employment

Name

Phone *

Name

Phone *

Name

Phone *