Employment

Thank you for your interest in employment at Florida Super Wash.

Please fill out the form below or click on the “Get Printable Form”.
Once completed, email the form to cmallettdougherty@gmail.com for consideration or drop off in person at:

Florida Super Wash
10070 Gibsonton Drive
Riverview, Florida 33578

We are currently hiring for the following positions:

  • General Labor
  • Supervisor

SECTION 1: POSITION APPLYING FOR:

Position Applying For:*

SECTION 2: EMPLOYEE INFORMATION

Your Full Name *

Your Email *

Your Phone *

Your Current Address *

Are you able to perform the essential functions of the position with or without accommodations?
YesNo

I am legally eligible for employment in the U.S.?
YesNo

I am seeking a permanent position:
YesNo

If necessary for the job, I am able to provide a valid driver's license.
YesNo

Are you a veteran?
YesNo

SECTION 3: EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs.

Employer name and address:

Position title/duties, skills, pay:

Start date - End date:

Supervisor:

Telephone:

Reason for leaving:
Employer name and address:

Position title/duties, skills, pay:

Start date2 - End date:

Supervisor:

Telephone:

Reason for leaving:
Employer name and address:

Position title/duties, skills, pay:

Start date - End date:

Supervisor:

Telephone:

Reason for leaving:

SECTION 4: SUMMARIZE OTHER EMPLOYMENT RELATED TO THIS JOB:

SECTION 5: EDUCATION

Institution name Yrs Field of study Graduate or degrees
High school
College/university
Business/technical
Additional

SECTION 6: SKILLS & QUALIFICATIONS

Other qualifications such as special skills, abilities or honors that should be considered:
Types of computers, software, and other equipment you are qualified to operate or repair:
Additional skills, including languages or information you wish to bring to the employer’s attention:

SECTION 7: REFERENCES

Name Telephone Address Occupation Years known

SECTION 8: EMERGENCY CONTACT

Name Telephone Address Relationship

SECTION 10: FILE UPLOAD

Upload photo:
Please include a recent photograph of yourself. This does not need to be a drivers license or any other type of Identification card. Simply include a recent photo of yourself so that we may attach it to your online application for reference purposes.
Upload resume:

SECTION 10: INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. If necessary for employment, you may be required to provide proof of authorization to work in the United States. I understand and agree to the information shown above.

Applicant Signature:

Date: