Job Application Apply Now Application FormNotice 1. You must answer all questions and complete all sections of this application. Please put N/A in sections that are not applicable. 2. Coastal Express Car Wash is an equal employment opportunity employer.Personal InformationLast Name *First Name *MI *Phone *Email *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryAre you a citizen of the United States? *YesNoIf NO, are you authorized to work in the U.S.? YesNoAre you at least 16 years old? *YesNoDesired Wage *Do you have reliable transportation? *YesNoDate available to start working? *Have you ever worked for Coastal Express Car Wash? *YesNoAvailabilityAvailability *Part TimeFull TimePreferred amount of hours per week? *Available Sunday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Monday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Tuesday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Wednesday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Thursday *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Friday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMAvailable Saturday? *YesNoFrom 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMTo 010203040506070809101112HH000510152025303540455055MMAMPMAM/PMCriminal HistoryPlease Note Answering yes to the questions below does not automatically disqualify you for employment.Have you ever been convicted of, or plead guilty or no contest to any crime (Felony or Misdemeanor)? *YesNoIf yes, give dates and details EducationHigh School Education (select highest grade completed) *Less than 99th10th11th12thGEDGraduated High School? *YesNoHigh School Name & Location College Education (select years completed) *None1 year2 years3 years4 yearsGraduated College? *YesNoCollege Name & Location Graduate School (select years completed) None1 year2 years3 years4 yearsWork HistoryCurrent or Last Employer *Full Address *Job Title *Supervisor's Name *Phone *Date Employed From *Date Employed To *Salary *Reason for Leaving * Previous Employer Full Address Job Title Supervisor's Name Phone Date Employed From Date Employed To Salary Reason for Leaving Military Service Branch From To Rank at Discharge Type of Discharge References List three personal references not related to you and not employed by Coastal Express Car Wash.Name *Relationship *Phone *Email * Name *Relationship *Phone *Email * Name *Relationship *Phone *Email *Disclaimer & SignatureInstructions A job at Coastal Express Car Wash involves work that is: 1. Demanding in all types of weather conditions 2. Flexible in Hours 3. Routine & Professional the Coastal Express Car Wash way… 4. Challenging in providing excellent customer service to everyone. As an employee of Coastal Express Car Wash what is expected of you: 1. A personal appearance and image that is neat, clean, and meets uniform standards. 2. A pleasant manner (smiling & polite) in providing great service for our customers. 3. A sense of urgency in completing daily tasks with safety a top priority 4. A willingness to meet the demands and requirements of the job.Do you understand that compliance with Coastal Express Car Wash uniform and appearance policy is condition of employment? YesNoI understand that if I am hired, my employment will be for no definite period of time. I further understand that I may terminate at any time and Coastal Express Car Wash also has the right to do so at any time. *Applicant InitialsI authorize Coastal Express Car Wash to investigate my background. This inquiry would include information on my character and reputation. I further understand that Coastal Express Car Wash may contact my former employer (s) and I authorize those employe *Applicant InitialsI certify that all information I have provided in this application is true and correct to the best of my knowledge. I understand that should I be hired and the information provided is found to be false or misleading. I will be immediately discharged/ter *Applicant Initials Digital Signature *Please type your full nameDate * VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: