First Name: *

Last Name: *

Phone Number*

Address *

Email Address*

Apt

City *

State *AlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip *

Do you have a valid driver license? Yes No

Do you have your own vehicle? Yes No

Can you drive a stick shift? Yes No

Have you ever been convicted of a misdemeanor or felony? Yes No

if Yes please explain

Do you have any customer service experience? Yes No

Due to the physical demands as a valet attendant, are you able to run or jog and work outside in all types of weather conditions? Yes No

Sunday Availability *

Monday Availability *

Tuesday Availability *

Wednesday Availability *

Thrusday Availability *

Friday Availability *

Saturday Availability *

When can you start? *

Is there anything else you would like to tell me about your self?

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