If you would like to apply for a job with Tidy Tom, please fill out the application below.

Your Name (required)

Your Email (required)

Address (required)

Phone Number (required)

Date Available to Start (required)

Have you ever worked for this company before? (required)
YesNo

If Yes, When?

Are you legally allowed to work in the United States? (required)
YesNo

Have you ever pleaded guilty, no contest or been convicted of a crime? (required)
YesNo

If yes, give dates and details:

Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Please provide us information regarding your previous employment. Begin with your most recent position.

Company Name

City and State

Phone Number

Dates of Employment

Position(s) Held:

Responsibilities:

May we contact this employer for a reference?
YesNo

Company Name

City and State

Phone Number

Dates of Employment

Position(s) Held:

Responsibilities:

May we contact this employer for a reference?
YesNo

References
Please provide up to two personal references with their current contact information.

Reference Name

Reference Email

Reference Phone Number

Reference Name

Reference Email

Reference Phone Number

Optional Resume Upload

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability from any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by authorizing company representative. This waiver does not permit the release or use of disability-related or medical information in a manner that prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

I agree with the above statement:
YesNo