Careers Step 1 of 3 33% Name(Required) First Middle Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Requirements(Required) Select All High School Graduate (or Student) or has a G.E.D Has reliable transportation to the car wash US Citizen, or legally authorized to work in the US Physically able to stand for hours at a time and lift 50 lbs Subject to random drug testing Available to work any day of the week Criminal OffensesCriminal background checks may be conducted on all applicants.Have you pled guilty, no contest or been convicted of any crime?(Required) No Yes Please expain(Required)Have you been the subject of an indictment, arrest or an official criminal complaint?(Required) No Yes Please explain(Required)Authorization for Background CheckI hereby authorize Tom’s Car Wash to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Tom’s Car Wash may utilize an outside firm to assist in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company’s choice. I also understand that I may withhold my permission and that in such case, no investigation will be done, and my application for employment will not be processed any further. I agree to the background check and authorize Tom’s Car Wash to investigate my background and qualifications. EmploymentWhat is your desired position? Which location are you applying for?(Required)Benton, KYTell City, INWhen are you available to start? MM slash DD slash YYYY What is your desired compensation per hour?Are you currently employed? Yes No Where are you currently employed? May we contact your current employer? Yes No EducationHigh School attended and year graduated (grade): College degree(s) earned or expected Major Name of institution Professional ExperienceBegin with most recent.Begin/End DateEmployer & AddressSupervisor & NumberYour Title & DutiesSalaryReason For Leaving Professional ReferencesNameTitle/EmployerPhoneRelationship What are your career goals and objectives?Consent(Required)I hereby affirm that I have responded to all inquiries on this form fully and frankly, and all the information contained in my application is true and correct. I understand that any misrepresentation or falsification or any of the Tom’s Car Wash Application forms or documents may result in termination, or if the problem comes to light after hire it can result in immediate dismissal from employment. I further consent and agree to submit to any job related medical exams or drug tests that might be required and agree to provide any information that may be needed to facilitate such tests. I hereby affirm that I have responded to all inquiries on this form.