Employment Application Step 1 of 5 - Contact Information 0% NOTICE: Applicants must be able to pass a Background Check conducted by the Washington State Patrol before they can be considered eligible for hire.Name* First Last Phone*Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you applying to a particular location?Any Station/Shop3rd Ave Station - 203 W. 3rd Ave Spokane, WA 99201Mid City Station - 822 W 2nd Ave Spokane, WA 99201Hatch Station - 701 E 2nd Ave Spokane, WA 99202Walnut Station - 1428 W 2nd Ave Spokane, WA 99201Hamilton Station - 1918 N. Hamilton Spokane, WA 9920738th Station - 3725 South Grand Blvd Spokane, WA 99203Greene Station - 3125 E Mission Spokane, WA 99202Sprague Station - 3602 E Sprague Ave Spokane, WA 99202Wellesley Station - 925 E. Wellesley Ave Spokane, WA 99207Fasmart Station - 8213 N. Market Spokane, WA 99217Division Station - 10222 N Division Spokane, WA 99218Pines Station - 1520 North Pines Spokane, WA 99206Liberty Lake Station - 21804 E Mission Liberty Lake, WA 99019Addy Station - 1374 North St Addy, WA 99101For which position are you applying? Tow Truck Driver Convenience Store Cashier Auto Service Attendant ASE Certified Mechanic Dispatcher Other Have you been convicted of a felony?* Yes No What other position are you applying for? What date are you available to start work?* MM slash DD slash YYYY Do you a Washington Driver's License?* Yes No Are you looking for: Full-time Employment Part-time Employment Do you have a CDL?* Yes No Can you work nights and weekends?* Yes No Are you under 21 years old?* Yes No Have you ever worked for Divines?* Yes No If so, please describe your previous employment history with Divine's.Do you have the right to legally work in the US?* Yes No Why are you applying with Divine's?How did you hear about us? If you need to enter additional schools use the + symbol to add another row.HighschoolName of School# of Years completedMajor or Degree CollegeName of School# of Years completedMajor or Degree Trade SchoolName of School# of Years completedMajor or Degree OtherName of School# of Years completedMajor or Degree Other skills and Qualifications:i.e. relevant Licenses, Skills, Training, Awards **10 year Employment History- Please start with the most recent jobPrevious Employer #1Employer Name Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Rate of Pay Address Contact Name Phone NumberReason for LeavingPlease be specific.Was your separation voluntary? Yes No Previous Employer #2Employer Name Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Rate of Pay Address Contact Name Phone NumberReason for LeavingPlease be specific.Was your separation voluntary? Yes No Previous Employer #3Employer Name Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Rate of Pay Address Contact Name Phone NumberReason for LeavingPlease be specific.Was your separation voluntary? Yes No Previous Employer #4Employer Name Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Rate of Pay Address Contact Name Phone NumberReason for LeavingPlease be specific.Was your separation voluntary? Yes No Is there any other information you would like us to know?Application SubmissionName* First Last Today's Date* MM slash DD slash YYYY Confirmation and Authorization* I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above. CommentsThis field is for validation purposes and should be left unchanged.