Pro Connect Staffing Job Application Position(s) Applying For: ☐ Auto Detailer  ☐ Car Washer  ☐ Porter  ☐ Other: ___________ Applicant Information Full Name: _______________________________________________ Phone Number: ____________________________________________ Email Address: ____________________________________________ Address: _________________________________________________ City: ____________________  State: _______  ZIP: __________ Availability Days Available (check all that apply): ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday Times Available (circle all that apply): Morning / Afternoon / Evening / Flexible Work Experience Do you have experience in the following areas? ☐ Auto Detailing  ☐ Car Washing  ☐ Porter Services  ☐ None ☐ Other (please describe): ___________________________________________ Years of Experience: __________ Can you work outdoors or on your feet for long periods? ☐ Yes  ☐ No Do you have any physical limitations we should be aware of? ☐ Yes  ☐ No If yes, explain: _______________________________________________________ Transportation & Legal Status Do you have reliable transportation to get to work? ☐ Yes  ☐ No Are you legally eligible to work in the United States? ☐ Yes  ☐ No References Name: _________________________ Phone: ___________________  Relationship: ________________________ Name: _________________________ Phone: ___________________  Relationship: ________________________ Emergency Contact Name: ___________________________________________ Phone Number: ____________________________________ Relationship: _____________________________________ Certification I certify that all answers given herein are true and complete. I understand that false or misleading information may result in termination of employment consideration. Signature: ___________________________  Date: _______________