Online Application Provided By Paul's Pest Control, Inc
Now Hiring Qualified Customer Service Representatives
Education
Special Skills
Military Service
Work History
General Info
Release
EOE
Sign
Personal Information
(* indicates required information)
Full Name:
*
Telephone:
-
-
*
Alt Phone:
-
-
Address:
*
Email:
*
Date Of Birth:
-
-
mm-dd-yyyy (optional)
Upload Resume:
(acceptable formats: .doc .docx .pdf)
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Educational Background
(last school attended is required)
Grammar or High School
Trade, Business or Vocational:
Did you Graduate?
Yes
No
Years Attended:
Degree / Major:
School Name:
Location
(city, st)
:
Did you Graduate?
Yes
No
Years Attended:
Degree / Major:
School Name:
Location
(city, st)
:
College:
Graduate School:
Did you Graduate?
Yes
No
Years Attended:
Degree / Major:
School Name:
Location
(city, st)
:
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Did you Graduate?
Yes
No
Years Attended:
Degree / Major:
School Name:
Location
(city, st)
:
Special Skills and Qualifications
(optional)
List any relevant skills, training, or experience that may help you qualify?
List any professional, trade business, civic activities or offices held that would relate to the work here.
What foreign languages do you fluently speak, read, and/or write that would relate to the work here?
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Military Service
(all information is required if applicable)
Branch of Service:
Not Applicable
Army
Navy
Air Force
Marine Corps
Coast Gaurd
Reserve
Not Applicable
Rank at discharge, if applicable:
List duties and special training:
Were you honorably discharged?
Yes
No
(if no, please explain below)
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Work History
(most recent is required)
Most Recent Employer
Employer 2
Dates Employed:
to
*
Address:
*
Phone:
*
Supervisor's Name:
*
Job Title:
*
Rate of Pay:
per
Hour
Week
Month
Year
*
Reason For Leaving:
Dates Employed:
to
Address:
Phone:
Supervisor's Name:
Job Title:
Rate of Pay:
per
Hour
Week
Month
Year
Reason For Leaving:
Employer 3
Dates Employed:
to
Address:
Phone:
Supervisor's Name:
Job Title:
Rate of Pay:
per
Hour
Week
Month
Year
Reason For Leaving:
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Employer 4
Dates Employed:
to
Address:
Phone:
Supervisor's Name:
Job Title:
Rate of Pay:
per
Hour
Week
Month
Year
Reason For Leaving:
General Information
(
*
indicates required information)
What position are you applying for?
- Please Select -
Field Technician
Customer Service
Sales Inspector
*
What is your salary expectation?
per
Hour
Week
Month
Year
*
When can you start work?
- Please Select -
Immediately
Within One Week
Within Two Weeks
Within One Month
Later Than One Month
*
How were you referred to us?
- Please Select -
Search Engine
Television
Yellow Pages
Newspaper Ad
Friend
Relative
Employee
Other
Name
Current Employment If Applicable:
Are you currently employed?
*
Yes
No
May we contact your current employer?
*
Yes
No
Are you eligible to work in the US?
*
Yes
No
Please indicate any days of the week you are NOT available for work:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
From
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
To
6 PM
5 PM
4 PM
3 PM
2 PM
1 PM
12 PM
11 AM
10 AM
9 AM
8 AM
Please Check All That Apply:
I am willing to work overtime:
I am at least 18 years old:
I am willing to travel:
I have reliable transportation:
I have a valid Drivers License:
License Number:
List any moving violation(s) or accidents in the last three years:
Legal Questionnaire:
List any convictions or sentences of a crime you have ever received:
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Agreement and Release Information
Paul's Termite and Pest Control, Inc. Agreement and Release Information:
For the purpose of this agreement and release, the organization that has provided you with this application is referred to as 'the company', 'this company', or 'you'. The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit, and motor vehicle records through any investigative or credit agencies or bureaus of your choice. You are also authorized to administer personality profile tests and verify my background. A criminal record or sentence is not an automatic disqualification for employment. I agree to submit to any drug or alcohol testing prior to or after employment, and I agree to submit to a medical evaluation, if required. In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. In exchange for the consideration of my employment application by this company, I hereby release and forever discharge this company (including its directors, officers, employees, and agents) and my past and/or present employers (their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I understand that if my application is accepted that employment with this company at all times is employment 'by contract'. It is further understood that this contractual relationship may not be changed by any verbal statements or by conduct unless an authorized executive of this company specifically acknowledges such change. I further understand that my contractual employment may be terminated at any time by this company or myself and includes no guarantee, contract, or promise of employment for any specific length of time. I understand that the first 90 days of employment is a new-hire introductory period.
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Equal Opportunity Employer
This is a drug-free workplace offering equal employment opportunities. We do not discriminate on the basis of race, creed, color, sex, religion, age, national origin, disability, citizenship status, veteran status, or any other class protected by state, county, local, or federal regulations.
Paul's Termite and Pest Control, Inc. is a EEOC compliant company, your date of birth will only used for the purpose of a background check and will not reflect any employment decision made.
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Digital Signature
(
*
indicates required fields)
* I have read, understand and agree to this companies Agreement and Release Information.
Electronic Signature
* Date
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2008
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reserved
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