Premier Valet Service

First Name

Last Name

What is your gender?*

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Address Line One

City

State

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Cellphone

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Date of Birth

Shirt Size (Uniform Purposes)

Jacket Size (Uniform Purposes)

Are you at least 19 years of age?

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Do you have a valid driver’s license?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please explain. (Please put N/A if none.)

Can you drive a stick shift?

Yes No

Do you have reliable transportation?

Yes No

What position are you applying for?

Please add references.

Additional Comments

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Days and hours available to work

Date available to start

Agreement

I certify that the information submitted in this application is true and complete to the best of my knowledge. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of all statements contained in this application and authorize the references listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same.

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Valet Parking Team

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