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UNLIMITED CARWASHES ONLY $19.95 A MONTH!

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First Name

Last Name

Email

How did you hear about us?

Friends

Social Media

Other

Phone

Are you 18 or older?

Yes

No

Tell us about yourself...

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Full Time/Part Time:

Full-Time

Part-Time

Desired Position

Social Security #

Education:

Are you able to work in fast paced conditions?

Are you able to work in cold/hot days?

How many hours/day are you available to work?

How many days/week are you available to work?

Employment History:

Immediate Supervisor

Phone

Reason for leaving

Dates of employment

Job Title

May we contact this employer?

Yes

No

Thanks for applying!
We’ll get back to you soon.

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10560 Lincoln Hwy,

Irwin, PA 15642

© 2023 Palatino's Steel City Car Wash created by Leacon Digital

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