Cloister Car Wash and Lube

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Personal Information

*Required Fields

*First Name *Last Name
*Address Street Address City State Zip
*Phone Number *Email Address
Are you 18 years old or older?	Yes No If No, your birthday:

Education

High School:		Graduate:	Yes No
College:		Graduate:	Yes No

Employment Desired

Position (check all that apply) Wash Production Wash Cashier Detailer Wash Assistant Manager Lube Technician Lube Cashier Lube Assistant Manager Are you interested in:  Full Time     Part-Time:    hours per week *Location --Please Select-- Ephrata York Lancaster Reading Do you have a valid PA Driver's License?     Yes No

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