Employment Opportunites

If you're looking for a great employment opportunity then join the Speedway Team! Check out the positions we have available below and fill out the associated information. A Speedway human resources agent will get back to you as soon as possible.

Personal Information
First Name
Middle Name
Last Name
Are you 18 or older?
Present Address
City/Town
State/Province
Zip Code

Permanent Address
City/Town
State/Province
Zip Code

Phone Number
Evening Phone
Email Address

Emergency Contact
Emergency Contact Phone
Emergency Contact Address
Emergency Contact City
Emergency Contact State
Emergency Contact Zip Code

Have you ever been convicted of a felony? If Yes, please explain. Yes No

US Veteran?
If Yes, Dates of Service?
Duty/Training
Are you currently engaging in the illegal use of drugs?	Yes No
Do you drink alcohol?	Yes No
Attendance Requirements This job may require you to be at our facilities from 8:00 AM to 7:00 PM, Monday through Saturday and from 9:00 AM to 6:00 PM on Sunday. Will you be able to meet these attendance requirements? Yes No

Job Description and Functions
Below is a description of the job functions, tasks and/or duties of the job for which you are applying:

Vacuuming Autos
Driving Autos
Drying Autos
Washing/Folding Towels
Greeting Customers
Fueling Autos

Janitorial Duties
Cleaning Building
Cleaning Windows
Cleaning Tires and Wheels
Lifting Full Trash Cans
Operating Buffers/Equipment

What is your experience based on the job functions, tasks and/or duties listed above?

Yes, I can perform all of them without an assistance
I can perform most of them, but with some assistance

Employment Desired
Position
Date You Can Start
Salary Desired
Are You Employed?	Yes No
If so, may we inquire of your present employer? If no, please explain Yes No

Have you ever been terminated from employment? If yes, please explain Yes No

Ever Applied to this company before?	Yes No
Why do you want to work at Speedway Car Wash?

Use this space to give us other information about your personal skills or qualities, work style, interpersonal ability or communication skills which would assist us in placing you:

How is your Driving Record?	Good Bad So, so
Any Major Violations?	Yes No
May we do a background check on you?	Yes No

Education History
Name of School & Location	Years Attended	Did You Graduate?
Grammer School		Yes No
High School		Yes No
College		Yes No
Trade, Business, or Correspondence School		Yes No
Subjects Studied

Former Employers (List below four employers, starting with the last one first)

Former Employer #1

Company Name
Contact Name
Telephone
Address
City/Town
State/Province
Zip Code

From
To
Salary
Position

Reason for leaving:

Former Employer #2

Company Name
Contact Name
Telephone
Address
City/Town
State/Province
Zip Code

From
To
Salary

Reason for leaving:

Former Employer #3

Company Name
Contact Name
Telephone
Address
City/Town
State/Province
Zip Code

From
To
Salary
Position

Reason for leaving:

Former Employer #4

Company Name
Contact Name
Telephone
Address
City/Town
State/Province
Zip Code

From
To
Salary
Position

Reason for leaving:

References (Please list two references from a previous employer below)

Reference #1

Name
Company
Address
City/Town
State/Province
Telephone

Notes

Reference #2

Name
Company
Address
City/Town
State/Province
Telephone

Notes

Applicant Certification
Please be advised that at the time of hire, as a condition of employment, you will be asked to sign an authorization allowing Speedway Car Wash to make paycheck deductions for any sums owed Speedway Car Wash by you as an employee. I certify that all information given on this application is true, correct, and complete. I also certify that I have accounted for all of my work experience and training. I understand that misrepresentation or omission of facts will be cause for cancellation of my consideration for employment, or dismissal if employed. I authorize any inquiry to be made on any information contained in this application if I am considered for employment. I understand that a conditional offer of employment may be made to me, conditioned upon a favorable medical evaluation. I understand that operating conditions may require me to temporarily work shifts other than the one I am applying for and I agree to such scheduling change as directed by my supervisor or management. I further understand that this is an application for employment and that no employment contract is being offered; and I understand that if employed, such employment is for an indefinite period and is subject to change in wages, conditions, benefits, and operating policies.
Agreed	(please initial)

Release of Employment Records
I hereby authorize Speedway Car Wash or those authorized by them, to investigate all facts contained in my application for employment with said company, and authorize the release of any and all information by my present and past employers, wherever located, which may be required for a reference check and which may be obtained in a pre-offer of employment inquiry under the Americans with Disabilities Act of 1990. I further authorize all of my previous employers and current employer to give any and all information concerning my employment and any other pertinent information which said employers may have, personal or otherwise, and which may be obtained in a pre-offer of employment inquiry under the Americans with Disabilities Act of 1990, and I release all parties from liabilities for any damages which may result from the furnishing of said information. A copy of this release shall be valid as the original.
Agreed	(please initial)
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