EMPLOYMENT APPLICATION
Want to join the Elite Car Bath Family? Please fill out the form
below and submit! "*" denotes a required
field.
ELITE CAR BATH is proud to be a ALCOHOL/DRUG-FREE working
environment.
PERSONAL INFORMATION:
Eugene Location
1713 W. 8th Ave.
Eugene, OR 97402
541.868.0051 ph.
Hours of Operation:
Monday - Friday:
8:00 A.M. to 6:00 P.M.
Sunday:
8:00 A.M. to 5:00 P.M.
Springfield Location
192 Q St., Springfield, OR 97477
541.746.7123 ph.
Hours of Operation:
Monday - Friday:
8:00 A.M. to 6:00 P.M.
Sunday:
8 :00 A.M. to 5:00 P.M.
Are you willing to submit to a pre-employment alcohol/drug
screening?
No
Yes
Choose A Location...
Eugene
Springfield
* First
Name:
* Last
Name:
*
*
* Email:
*Social Security Number:
Valid eMail
*Telephone
Phone:
*
*PRESENT ADDRESS:
Address 1:
Address 2:
City:
State / Province:
ZIP / Postal Code:
Country:
PERMANENT ADDRESS:
Address 1:
Address 2:
City:
State / Province:
ZIP / Postal Code:
Country:
REFERAL INFORMATION:
If related to anyone in our employ,
state name and department (omit spouse):
or Referred by:
EMPLOYMENT DESIRED:
*Position:
*Date you can start:
*Are you employed now?
If so, may we inquire of your present
employer?
*Salary/Wages Desired:
Have you ever applied with this company
before?
No
Yes
Where?
When?
EDUCATION HISTORY:
Grammer School
School Name:
Did you Graduate?
No
Yes
School Location City:
School Location State:
Subjects Studied:
High School
School Name:
Did you Graduate?
No
Yes
School Location City:
School Location State:
Subjects Studied:
College
School Name:
Did you Graduate?
No
Yes
School Location City:
School Location State:
Subjects Studied:
Trade, Business
or Correspondence
School Name:
Did you Graduate?
No
Yes
School Location City:
School Location State:
Subjects Studied:
LANGUAGES, STUDIES, RESEARCH,
AND ACTIVITIES:
What foreign languages do you speak
fluently?
Which do you read?
Which do you write?
Special studies or research work:
List Activities: (civic, athletic,
etc.)*
*EXCLUDE ORGANIZATIONS, THE NAME
OR CHARACTER OF WHICH INDICATES THE RACE, CREED, SEX, MARITAL STATUS,
AGE, COLOR OR
NATIONAL ORIGIN OF ITS MEMBERS.