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Full Name:
Address: Line 1:
Address Line 2:
City:
State:
Zip:
Email Address:
Name of Paper or Website the Job Posting Appeared in:
Daytime Phone:
Nighttime Phone:
Are you 19 years or older?:
Yes
No
Do you have a valid driver's license?:
Yes
No
Within the past five years, have you had any major violations on your driving record?:
Yes
No
Can you operate a standard transmission(Stick?:
Yes
No
Are you able to walk or stand for up to 8 hours at a time?:
Yes
No
Can you lift 15lbs?:
Yes
No
Are you able to work outdoors in all weather conditions?:
Yes
No
Hours available per week:
What type of work are you looking for?:
Part Time
Full Time
Position you are applying for?:
Valet
Valet Manager
Cashier
Lot Attendant
Previous work history:
Company Name:
Position:
City
State:
Zip:
Reference Name:
Phone Number:
