Congaree Valet
1422 Laurel Street • Columbia, SC 29201
Job Application for Valet Parking Position
Full Name: Applicant Information Date:
Address:
Last First M.I.
Street Address
Apartment/Unit #
City State ZIP Code
Phone: Email:
Date Available: Yes No Yes No
Are you a citizen of the U.S?
Have you ever worked for this company? If no, are you authorized to work in the U.S.?
Have you ever been convicted of a felony?
Yes No If yes, when?
Seeking full-time or part-time position:
Yes No
If yes, explain:
High School: To: Education No
From: To:
College: To: Address: Diploma:
From: Yes
Other: No
From: Did you graduate?
Diploma:
Address:
Yes No
Did you graduate? Diploma:
Address:
Yes
Did you graduate?
References
Please list three professional references. Relationship:
Full Name: Phone:
Company:
Address:
Full Name: Relationship:
Company: Phone:
Address:
Relationship:
Full Name: Phone:
Company:
Address:
Previous Employment
Company: Phone:
Address:
Yes No
Supervisor:
Job Title: May we contact your previous supervisor for a reference?
Responsibilities:
From: Starting Salary: Ending Salary:
Company: To: Reason for Leaving:
Address: To:
Phone:
Supervisor:
Job Title: Yes No
Responsibilities:
From: May we contact your previous supervisor for a reference?
Starting Salary: Ending Salary:
Reason for Leaving:
Company: Phone:
Address:
Supervisor: Yes No
Job Title:
Responsibilities: May we contact your previous supervisor for a reference?
From:
Starting Salary: Ending Salary:
To: Reason for Leaving:
Branch: Military Service To:
Rank at Discharge:
Explanation: From:
Type of Discharge:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my
release.
Signature: Date: