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Personal Information
Applicant Name:*
Applicant Address:
Applicant City, State, Zip:
E-mail:*
Phone(s):
How did you learn about us?:
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If you are under 18 years of age, can you provide required proof of your eligibility to work?:
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Do you have a current and valid CA driver's license?:
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Have you ever filed an application with us before?:
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Have you ever been employed with us before?:
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If yes, enter date:
Have you ever worked in the pest control field or a related industry?:
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If yes, when and where:
Are you currently employed?:
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May we contact your present employer?:
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Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Proof of citizenship or immigration status will be required upon employment.:
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On what date would you be available for work?:
Work availability per day:
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Full day
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3 hrs or less
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Are you currently on "lay-off" status and subject to recall?:
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If yes, please explain:
Have you been convicted of a felony within the last 7 years?:
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Conviction will not necessarily disqualify an applicant from employment. If yes, please explain:
Indicate any foreign languages you can speak, read and/or write and your proficiency.:
Education
Highest Level Attained:
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Years Completed:
Diploma / Degree:
Describe any specialized training, apprenticeship, skills, hobbies and extracurricular activities:
Describe any job-related training received in the United States Military:
Employment
Start with you present or last job. Include any job-related military
service assignments and volunteer activities. You may exclude organizations
that indicate race, color, religion, gender, national origin, disabilities,
or other protected status.
Most Recent Employer
Employer:
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Supervisor:
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Reason for Leaving:
Employed between:
Hourly Rate/Salary:
Work Performed:
Employer 2
Employer:
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Job Title:
Supervisor:
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Employed between:
Hourly Rate/Salary:
Work Performed:
Employer 3
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Supervisor:
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Reason for Leaving:
Employed between:
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Work Performed:
Other qualifications:
Summarize special job-related skills, qualifications, employment, or other experience: