Join the Pass Pest Team Interested in joining our growing team? Please complete the form below to submit your application today! Name * Today's Date: * Month MonthJan Day Day22 Year Year2021 Phone Number * Alternate Phone Number Current Address * Are you over the age of 18? * - Select -YesNo Are you currently eligable to work in the US? * - Select - Yes No Can you provide documentation that you are legally eligible to work in the U.S.? * - Select - Yes No Position applying for: * - Select - Customer Service Representative (indoor and outdoor available) Pest Control Service Specialist Sales Date available to work: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Desired type of employment * - Select - Full-Time Part-Time Temporary Desired Shift - None -1st2nd3rd Desired salary or rate of pay: AvailabilitySunday Start Time Hour Hour123456789101112 : Minute Minute0030 am pm End Time Hour Hour123456789101112 : Minute Minute0030 am pm Can you perform the essential job functions for which you are applying, with or without reasonable accommodation? - None -YesNo Have you ever held a position of trust (handling money or confidential material)? - None -YesNo Do you have reliable transportation to work? - None -YesNo Have you ever been discharged or asked to resign? - None -YesNo Do you have any friends or relatives that currently work here? - None -YesNo Have you ever been bonded? - None -YesNo Why do you desire to make a change? Have you ever been refused bond? - None -YesNo Does your present employer know of your plans to change employment? - None -YesNo Education Information High School Name of Institution Degree Received (with major) Location Years Completed College or Trade School Name of Institution Degree Received (with major) Location Years Completed Graduate School Name of Institution Degree Received (with major) Location Years Completed Applicable licenses Prior Work Record Name of Most Recent Employer Business Number Immediate Supervisor (Name & Position) Hire Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Starting Rate End Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 End Rate Job Title & Duties Reason for Leaving May we contact the employers listed above? - None -YesNo If not, indicate which one(s) you do not wish us to contact The facts set forth above in my application for employment are true and complete. I understand that if employed, false statements or omission of information on this application, a resume, or other applicant information provided may be considered sufficient reason for dismissal. I understand that consumer reports which may contain public record information may be requested from the reporting agency. These reports may include information as to my character, work habits, performance, and experiences along with reasons for termination of past employment from previous employers. Further, I understand that you may be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil, and other experiences. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigative consumer report. 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 release all such persons from any liability or damages on account of having furnished such information. I understand that employment at this organization is on an "at will" basis, and includes no guarantee, contract, or promise of employment for any specific length of time. Signature of Applicant * Today's Date: Month MonthJan Day Day22 Year Year2021 By submitting this form, you are agreeing to the privacy policy. Leave this field blank
