Job Opportunities

Personal Information
Enter in your information
Name*
First Middle Last
Social Security Number*
Date of Application*
Date Format: MM slash DD slash YYYY
Are you less than 18 years of age?
- YES
- NO
Email Address*
Current Street Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Daytime Phone Number*
Evening Phone Number*
Referred By

Employment Desired
If you are applying for an hourly position, please keep in mind that the availability of hours may vary
Position*
Location/Department*
Salary Desired*
Date You Can Start*
Date Format: MM slash DD slash YYYY
Hours Available Each Day
Sunday*
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
Saturday*
Are you able to work overtime?
- YES
- NO
Are you legally eligible for employment in the U.S.?
(All new hires will be required to provide documentation to comply with I9 requirements.)
- YES
- NO
Have you ever worked for Steamatic?
- YES
- NO
If yes, when?*
Which location?*
Have you been convicted of a crime in the last seven (7) years?
- YES
- NO
If yes, list convictions that are a matter of public record (arrests are not convictions). A conviction will not necessarily disqualify you for employment.*
CALIFORNIA APPLICANTS ONLY: Applicant may omit any convictions for the possession of marijuana (except for convictions of the possession of marijuana on school grounds or possessions on concentrated cannabis that are more than two (2) years old, and any information concerning a referral to, and participation in, any pretrial; or post trial diversion program). MARYLAND APPLICANTS ONLY: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment or continued employment, that an individual submit or take, a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100. MASSACHUSETTS APPLICANTS ONLY: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. Any employer who violates this law shall be subject to criminal penalties and civil liability.

References
Provide the names of three professional references whom you have known at least one year.
Reference 1
Name
Address
Phone
Business
Years Acquainted / How Do You Know This Person?
Reference 2
Name
Address
Phone
Business
Years Acquainted / How Do You Know This Person?
Reference 3
Name
Address
Phone
Business
Years Acquainted / How Do You Know This Person?

I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Steamatic at any time without prior notice for any reason. I hereby authorize Steamatic to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Steamatic to provide any relevant information regarding my current and/or previous employment and I release all person, schools, employers of any and all claims for proving such information. I understand that misrepresentation or omission of facts my result in rejection of the application, or of hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Steamatic. I understand that nothing contained in the application, or conveyed during any interview which may be granted, is intended to create and employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Steamatic to hire me.
Do You Have A Resume?
- YES
- NO
File
Comments
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Personal Information

Employment Desired

Hours Available Each Day

Education

High School

College

Post College

Trade, Business, or Correspondence School

Former Employers

Current Employer

Former Employer

Former Employer

References

Reference 1

Reference 2

Reference 3

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