You can either fill out the form below, or download the application in PDF format. Send Applications to: firstname.lastname@example.org First Name Last Name Middle Name Phone Email Street Address City State Zip How did you hear about Steam Works? Steam Works WebsiteCraigslistIndeedEmployee ReferralClient ReferralOther Enter Other If hired, when could you start work? Date Time Position Applying For Lead Hood TechnicianHood TechnicianRestaurant Cleaning CrewWindow WashingPressure WashingCarpet/UpholsteryOther Enter Other Desired Hours Full Time Hours (30-40 hours per week)Part Time Hours (less than 30 hours per week) Ideally, how many hours do you want to work per week? * Are you willing to work overtime, when and as required? YesNo * Are you available to work on holidays? YesNo *Personal information revealing race, color, religion, creed, gender, national origin, age, disability, marital status or veteran status, sexual orientation, or any other legally protected class should not be contained in the response. Available Monday Tuesday Wednesday Thursday Friday Saturday Sunday 12am-4am Yes Yes Yes Yes Yes Yes Yes 4am-8am Yes Yes Yes Yes Yes Yes Yes 8am-12pm Yes Yes Yes Yes Yes Yes Yes 12pm-4pm Yes Yes Yes Yes Yes Yes Yes 4pm-8pm Yes Yes Yes Yes Yes Yes Yes 8pm-12am Yes Yes Yes Yes Yes Yes Yes * Do you anticipate any changes to your availability in the next 6 months? YesNo Please list all regular or foreseeable availability conflicts below School Name and City Graduate? Years Course of Study High School YesNo Technical/Prep YesNo College YesNo Other YesNo EMPLOYMENT HISTORY (Please attach resume or follow directions below) Please give an accurate, complete, full-time and part-time employment record. Start with present or most recent employer. Include military experience if applicable. Check Here if no previous work history. 1. Company Name City/State Job Title Employed From Employed To Job Duties Reason for leaving Last Salary Supervisor Name Phone May we contact this employer YesNo 2. Company Name City/State Job Title Employed From Employed To Job Duties Reason for leaving Last Salary Supervisor Name Phone May we contact this employer YesNo 3. Company Name City/State Job Title Employed From Employed To Job Duties Reason for leaving Last Salary Supervisor Name Phone May we contact this employer YesNo REFERENCES(optional) Please provide professional references below, preferably previous immediate supervisors. We recommend that you give your references notice that they may be contacted by us. Occupation Relationship to You Reference Name Reference Phone Number Occupation Relationship to You Reference Name Reference Phone Number CRIMINAL HISTORY NOTE: Existence of a criminal history will not automatically disqualify you from employment. During the past 7 years, have you been convicted of a felony? YesNo *Do not answer “YES” if conviction has been annulled, expunged, pardoned, erased, impounded or sealed. If YES, please explain conviction Conviction Date City State Country Have you been convicted of any other crimes in the past 7 years? YesNo *Do not answer “YES” if conviction has been annulled, expunged, pardoned, erased, impounded or sealed. If YES, please explain conviction Conviction Date City State Country PLEASE LIST HERE any further stand-out qualifications or traits you have that would identify you as a leading candidate for employment with Steam Works (optional): Attach Resume SIGNATURE DATE In signing, I certify that I am authorized to work in the United States and the information given herein is true and complete to the best of my knowledge. I authorize you to make such investigations and inquire of the information provided herein, and other matters related thereto, as may be necessary. I hereby release employers, schools and other persons, institutions, or businesses from all liability in responding to inquiries in connection with my application. I understand that false or misleading information given in my application or during an interview may result in a refusal to hire, or discharge in the event of employment. I understand and agree that, if hired, my employment is at will. I also understand that if I am hired, my employment is for no definite period of time. I may terminate my employment at any time and I may be dismissed at any time without prior notice. I further understand and agree that nothing in this application form shall constitute a contract of employment or shall constitute a guarantee of employment. I also understand that any policies or procedures implemented by the company in the event of my employment are for purposes of operations only and are not intended to be nor constitute a contract for my employment. In addition, I understand that any of these policies or procedures may be changed at any time at the employer’s discretion and without notice.