APPLICATION FOR EMPLOYMENT

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Alban Butler
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1 NOTICE: 1. TO BE CONSIDERED FOR EMPLOYMENT WITH AUTOBELL CAR WASH, INC., YOU MUST ANSWER ALL QUESTIONS AND COMPLETE ALL SECTIONS OF THIS APPLICATION FORM. PLACE N/A" IN SECTIONS THAT ARE NOT APPLICABLE. 2. AUTOBELL CAR WASH, INC. IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. WHEN COMPLETING THIS APPLICATION, PLEASE MAKE SURE YOU: 1. GIVE COMPLETE INFORMATION ON YOUR EDUCATION AND WORK HISTORY ( SEE RESUME IS NOT ACCEPTABLE.) 2. CHECK FOR ACCURACY, SIGN AND DATE YOUR APPLICATION. THANK YOU FOR YOUR INTEREST IN EMPLOYMENT WITH AUTOBELL CAR WASH, INC. AUTOBELL CAR WASH, INC. WANTS TO FIND THE BEST QUALIFIED PEOPLE AVAILABLE TO SERVE OUR COMMUNITIES. ALTHOUGH EVERYONE WHO APPLIES CANNOT BE HIRED, YOUR APPLICATION WILL BE GIVEN EVERY CONSIDERATION. APPLICATION FOR EMPLOYMENT Last Name First Name Middle Initial Date of Application Address (Street number and name) City State Zip Code Address Home Phone Message/Cell Phone Are you at least 16 years old? YES NO Are you related by blood or marriage to any person now working for the Autobell Car Wash, Inc.? YES NO If yes, give name, relationship to you and the location/store where employed. Availability What is your preferred number of hours to work per week? What hours are you available to work each day of the week? MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Referral Source How did you hear about Autobell Car Wash, Inc.? Autobell at my school Advertisement (where?) Previously Employed at Autobell Friend Autobell Car Wash, Inc. Prior Employment Eligibility (History) Have you previously worked for Autobell Car Wash, Inc.? YES NO Where: Manager: Why did you leave? Education: Circle highest grade completed: GED College: Graduate School: Schools Name and Location Dates Attended (mo/yr) From: To: Grad? High School YES NO College or Vocational School YES NO Skills: Do you have experience with the following? (check all that apply) Sales Customer Service Cash Register Manual Transmission Detailing Working Outdoors Retail Are you legally authorized to work in the United States? YES NO Do you have a current valid driver s license? YES NO License No. State: Exp. Date: Note: Answering YES to the below questions does not automatically disqualify you for employment. Have you ever pled guilty or no contest to a crime or been convicted? YES NO If YES, give date and details: Have you ever been convicted of a DUI or DWI? YES NO If YES, Date:

2 List two personal references not related to you and not employed by Autobell Car Wash, Inc. NAME: RELATIONSHIP: PHONE: NAME: RELATIONSHIP: PHONE: WORK HISTORY (Include Volunteer Experience) Use Additional Sheets if Necessary Current or Last Employer: Employer: Employer: The job as a crewmember of Autobell Car Wash, Inc. involves work that is: 1. Demanding in all types of weather conditions heat and cold. 2. Flexible in hours depending upon work availability and weather. 3. Routine there is only the one, best way to wash a car The Autobell Way. 4. Challenging in providing excellent customer service to everyone. As a crew member of Autobell Car Wash, Inc., what is expected of you: 1. A personal appearance and image that is neat, clean, and meets uniform standards. 2. A pleasant manner (smiling, politeness) in providing service to our customers. 3. A sense of urgency to wash and detail each car in 15 minutes or less. 4. A willingness to meet the demands and flexibility required of the job. Do you understand that compliance with the Autobell uniform and appearance policy is a condition of employment? YES NO I understand that if I am hired, my employment will be for no definite period of time. I further understand that I may terminate my employment at any time and the Autobell Car Wash, Inc. also has the right to do so at any time. I understand that Autobell Car Wash, Inc. may require me to submit to a drug test at any time before or during my employment and that the results of such tests will be released to the company. I consent to this. I further understand that if I was previously employed by Autobell Car Wash, Inc. and was terminated for any reason, the circumstances of that termination will weigh heavily in the decision to hire me. I authorize Autobell Car Wash, Inc. to investigate my driving record and criminal record. This inquiry would include information on my character and reputation. I further understand that Autobell Car Wash, Inc. may contact my former employer(s) and I authorize those employers to disclose all records of my employment with them. I 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/terminated. APPLICANT SIGNATURE: DATE: FOR OFFICE USE ONLY: (Applicant, do not complete this section.) Recommended for Interview Now Recommended for Interview Later Not Recommended STORE #: ACCEPTED BY: INTERVIEWER: DATE: AUTOBELL CAR WASH, INC. EMPLOYMENT APPLICATION Revised 11/2014 All applications will remain on file for no more than 30 days.

3 Autobell Car Wash - Standards of Appearance The objective of the appearance standards is that employees meet the standards consistently every day and at every location. As an employee of Autobell Car Wash, you must maintain an appearance that is clean, natural, safe, and professional. A professional appearance includes neatly trimmed hair (including facial hair), clean clothes, and personal grooming, including personal cleanliness. A poster detailing the expectations and requirements of Autobell Car Wash in regard to an employee s appearance is posted at each location. Visible tattoos are not permissible at Autobell Car Wash. Any tattoos must be covered by the provided Autobell uniform no matter the season and must stay covered while you are working. The main components of your uniform will be provided to you free of charge as listed below: Uniform shirts and belt buckle covers are provided for employees at no charge. You will be provided one name tag that should be worn on the right side of your outermost layer (horizontal to the Autobell logo) each time you work. A name label will be provided to put on your name tag with your first name. Slang names are not allowed on your name tag. Employees are provided with one pair of properly fitted navy pants when hired. Additional free pair of pants are available at six-month intervals following your hire date. You may also, at any time, purchase additional pants at your expense through the Company and take advantage of Autobell s rate. Shorts are also available for purchase through our provider at our Company rate. Employees will not be allowed to work if they do not meet the Autobell Uniform Standard upon arrival. Remember it is the employee s responsibility to arrive at work each day with a clean uniform free of holes and/or torn seams, and to have a uniform that is not extremely faded. Pay special attention to these areas. Revised

This Organization Participates in E-Verify Esta Organización Participa en E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to

If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social

4 This Organization Participates in E-Verify Esta Organización Participa en E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE.UU.. Si E-Verify no puede confirmar que usted está autorizado para trabajar, este empleador está requerido a darle instrucciones por escrito y una oportunidad de contactar al Departamento de Seguridad Nacional (DHS) o a la Administración del Seguro Social (SSA) para que pueda empezar a resolver el problema antes de que el empleador pueda tomar cualquier acción en su contra, incluyendo la terminación de su empleo. Los empleadores sólo pueden utilizar E-Verify una vez que usted haya aceptado una oferta de trabajo y completado el Formulario I-9. E-Verify Works for Everyone E-Verify Funciona Para Todos For more information on E-Verify, or if you believe that your employer has violated its E-Verify responsibilities, please contact DHS dhs.gov/e-verify Para más información sobre E-Verify, o si usted cree que su empleador ha violado sus responsabilidades de E-Verify, por favor contacte a DHS. English / Spanish Poster

Employers cannot reject documents because they have a future expiration date. Employers cannot terminate you because of E-Verify without giving you an opportunity to resolve the problem.

5 IF YOU HAVE THE RIGHT TO WORK Don t let anyone take it away. There are laws to protect you from discrimination in the workplace. You should know that In most cases, employers cannot deny you a job or fire you because of your national origin or citizenship status or refuse to accept your legally acceptable documents. Employers cannot reject documents because they have a future expiration date. Employers cannot terminate you because of E-Verify without giving you an opportunity to resolve the problem. Contact IER For assistance in your own language Phone: TTY: us IER@usdoj.gov Or write to U.S. Department of Justice CRT Immigrant and Employee Rights NYA 950 Pennsylvania Ave., NW Washington, DC If any of these things happen to you, contact the Immigrant and Employee Rights Section (IER). In most cases, employers cannot require you to be a U.S. citizen or a lawful permanent resident. Immigrant and Employee Rights Section U.S. Department of Justice, Civil Rights Division

Town of Enfield P.O. Box 699, 105 S.E. Railroad Street Enfield, NC Telephone (252) , Fax (252)

Town of Enfield P.O. Box 699, 105 S.E. Railroad Street Enfield, NC 27823 Telephone (252) 445-3146, Fax (252) 445-1019 EMPLOYMENT APPLICATION INSTRUCTIONS: Applications must be completed, signed and dated