Employment Application


Quality Service at a Discount!

"; $subject = "expressocarwash.com Employment Application"; $contents = "Name: ".$_POST['Name']."\n\n"; $contents .= "Other Names: ".$_POST['ONames']."\n"; $contents .= "Address: ".$_POST['Address']."\n"; $contents .= "City: ".$_POST['City']."\n"; $contents .= "State: ".$_POST['State']."\n"; $contents .= "Zip: ".$_POST['Zip']."\n\n"; $contents .= "How long have you lived at your current address: ".$_POST['Years']. Years .$_POST['Months']. Months"\n\n"; $contents .= "Phone: ".$_POST['Phone']."\n"; $contents .= "E-Mail: ".$_POST['EMail']."\n\n"; $contents .= "Person to contact in an emergency: ".$_POST['Emergency']."\n"; $contents .= "Phone: ".$_POST['PhoneEmergency']."\n\n"; $contents .= "Are you under the age of 18?: ".$_POST['Under18']."\n"; $contents .= "If "Yes", after employment, can you show proof of age: ".$_POST['Proof']."\n"; $contents .= "Can you, after employment, submit certification of your legal right to work in the U.S.?: ".$_POST['Legal']."\n"; $contents .= "Have you ever been counseled or disciplined for being late or absent from work or school?: ".$_POST['Discipline']."\n"; $contents .= "Have you ever been convicted of a felony, a crime involving dishonesty, or a crime involving violence to another person?: ".$_POST['Crime']."\n"; $contents .= "If yes, please describe, including dates charged, penalties, and current disposition: ".$_POST['Describe']."\n\n"; //send mail mail($to, $subject, $contents, $from_header); echo '

Thank You! Your Employment Application has successfully been sent.

'; } else { ?>
Name: Other Names: Address: City: State: Zip: How long have you lived at your current address: Years: Months: Phone: E-Mail: Person to contact in an emergency: Phone: Are you under the age of 18?: If "Yes", after employment, can you show proof of age: Can you, after employment, submit certification of your legal right to work in the U.S.? Have you ever been counseled or disciplined for being late or absent from work or school? Have you ever been convicted of a felony, a crime involving dishonesty, or a crime involving violence to another person? If yes, please describe, including dates charged, penalties, and current disposition. Note: convictions are not an automatic disqualification from employment.