test - Insta-Clean Parts Washers

LOCATION APPLYING FOR

Location(Required)

Lake Havasu City, AZ

Indianapolis, IN

APPLICATION INFORMATION

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Alternate Phone(optional)

Email(Required)

ELIGIBILITY & AVAILABILITY

Date Of Application(Required)

Date Available To Start(Required)

Are you 18 years of age or older?(Required)

Yes

Are you legally authorized to work in the United States?(Required)

Yes

If hired, can you provide documents establishing your identity and work authorization?(Required)

Yes

How did you hear about this position?(Required)

Facebook

Referral

Walk-in

Other

SCHEDULE & RELIABILITY

Are you able to work a full-time Monday–Thursday schedule?(Required)

Yes

Are you available for occasional overtime if needed?(Required)

Yes

Do you have reliable transportation to the work location?(Required)

Yes

How would you describe your attendance record in past jobs?(Required)

PHYSICAL & SHOP READINESS

This job requires lifting, prolonged standing, and hands-on work throughout the day. Are you able to perform these duties, with or without reasonable accommodation?(Required)

Yes

Are you comfortable working in an industrial shop environment (noise, machinery, varying temperatures)?(Required)

Yes

Are you comfortable lifting/moving heavy equipment and building shipping pallets?(Required)

Yes

SKILLS & EXPERIENCE (helpful, but not required)

Have you used hand and power tools?(Required)

Yes

If yes, which tools are you comfortable with?

Do you have any experience with welding or metal fabrication?(Required)

Yes

If yes, please describe:

Do you have a background in any of these areas? (check all that apply)(Required)

Maintenance

Automotive repair

Manufacturing

Construction

Equipment repair

None

Briefly describe any relevant experience:(Required)

Tell us about a time you diagnosed or fixed something mechanical. What was the problem, and how did you solve it?(Required)

FIT & MOTIVATION

What interests you about a hands-on technician role rather than a desk job?(Required)

Are you able to pass a standard pre-employment drug screen?(Required)

Yes

Note: on cannabis: Cannabis is legal for adult use under Arizona law. For applicants to our Arizona location, lawful off-duty cannabis use is not, by itself, a disqualifying factor. Applicants to our Indiana location are subject to Indiana law, under which cannabis remains illegal.

In addition, I understand that any offer of employment is conditional upon my successful completion of the company’s pre-employment screening process, including a drug test. I hereby consent to submit to such testing upon receiving a conditional job offer. I understand that a refusal to submit to testing, a verified positive test result, or tampering with the test will result in the withdrawal of the employment offer.

EMPLOYMENT HISTORY (most recent first)

Employer 1

Employer

Phone

Position

Dates (from – to)

Reason for leaving

May we contact this employer?

Yes

Employer 2

Employer

Phone

Position

Dates (from – to)

Reason for leaving

May we contact this employer?

Yes

Employer 3

Employer

Phone

Position

Dates (from – to)

Reason for leaving

May we contact this employer?

Yes

REFERENCES (not related to you)

Reference 1

Name

First Last

Relationship

Phone

Reference 2

Name

First Last

Relationship

Phone

Reference 3

Name

First Last

Relationship

Phone

CERTIFICATION & SIGNATURE

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in denial of employment or, if hired, termination of employment. I understand that this application is not a contract of employment, and that if hired, my employment is at-will and may be terminated by either the company or me at any time, with or without cause or notice.

Signature(Required)

Date(Required)

LOCATION APPLYING FOR

APPLICATION INFORMATION

ELIGIBILITY & AVAILABILITY

SCHEDULE & RELIABILITY

PHYSICAL & SHOP READINESS

SKILLS & EXPERIENCE (helpful, but not required)

FIT & MOTIVATION

EMPLOYMENT HISTORY (most recent first)

Employer 1

Employer 2

Employer 3

REFERENCES (not related to you)

Reference 1

Reference 2

Reference 3

CERTIFICATION & SIGNATURE

Location:

Hours Of Operation:

Phone:

Follow Us Online

PRODUCTS

Resources

QUICK LINKS

ACCOUNT

CONTACT INSTA-CLEAN