Application for Employment

Fill out the following information (bold fields are mandatory) and click 'Submit'.

First Name:
Last Name:
Email Address:
Phone Number:
Secondary Phone:
SSN:
License Number:
DOB:
Name of Employer:
Employer's Address:
Start Date:
End Date:
Reason for leaving:
Name of Employer:
Employer's Address:
Employer's Phone:
Start Date:
End Date:
Reason for leaving:
Have you ever been convicted of a crime?:	Yes No
If YES please explain:
Would you be willing to partake in a drug test?:	Yes No
How did you hear about AMS Valet?:
Do you know anyone who is employed or who has been previously employed with AMS Valet?:	Yes No
If YES who:
Emergency Name:
Emergency Phone:
Emergency Address:
Emergency Name:
Emergency Phone:
Emergency Address:
I understand that if my position at AMS Valet is terminated I will not engage in any action to jeopardize AMS Valet's profit margin, or start, run or operate my own company for at least 2 years:	I agree I do not agree