Application for Employment Step 1 of 3 33% Flash Clean is an equal opportunity employer and does not discriminate in hiring or employment on the basis of Race, Religion, Color, National Origin, Sex, Age, Marital Status, Disability, Veteran Status or any other prohibited basis.Name(Required) First Middle Last Email(Required) Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Are you eligible to work in the United States?(Required) Yes No Are you over the age of 18?(Required) Yes No Have you ever been convicted of a crime?(Required) Yes No If yes, Please Explain:If Hired, would you be willing to consent to a background check?(Required) Yes No What is your means of transportation to work?(Required) Please Summarize in brief details your qualifications and why you are applying for this position. Work Experience(List below last four Employers):Employer 1From MM slash DD slash YYYY to MM slash DD slash YYYY Name Address of Employer Position Reason for Leaving Employer 2From MM slash DD slash YYYY to MM slash DD slash YYYY Name Address of Employer Position Reason for Leaving