• Employment Application

    Employment Application

    REV03072023

  • Section 1: Personal Information

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  • Do you have a valid driver's license?*
  • Are you legally eligible to work in the U.S.?*
  • Are you willing to take a drug test?*

  • Section 2: Position Information

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  • Have you worked for this company before?*
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  • Do you have a Pesticide Applicators License?

  • Section 3: Education

  • Highest Grade Completed:*
  • College Level:

  • Section 4: Work History/Experience

    Please list your 3 most current work history/experience
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  • May we contact this employer? (please check one)*
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  • May we contact this employer? (please check one)
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  • May we contact this employer? (please check one)

  • Section 5: References

    Please list 3 professional references; omit family members and/or relatives
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  • Section 6: Military/Discovery/Referrals

  • Did you serve in the U.S. Armed Forces?*
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  • Section 7: Resume

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  • Section 8: Disclosure

    Applicant Must Read, Agree, and Sign

  • False information will cause candidate dismissal.

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interviews(s) may result in discharge. I hereby state that all information provided is accurate and may be verified by you Allen Chase Enterprises, Inc. (The Company). I authorize you, The Company, to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquires regarding medical history will be made only if and after a conditional offer of employment has been extended). I hereby release employers, schools, health care providers, and other persons and parties from all liability in responding to inquires and releasing information in connection with my application. You may contact my former employers as outlined above. I hereby release Allen Chase Enterprises, Inc., its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references and throughout the application process. I agree that I will follow The Company(s) policies, rules, and procedures. I understand that Allen Chase Enterprises, Inc. reserves the right to add, change, and/or delete any policies, job duties, procedures, work rules, and/or benefits at anytime. I understand that this application is not and is intended to be a contract of employment nor does this application obligate The Company in any way if The Company decides to employ me. I understand and agree that my employment is at will and can be terminated by either party with or without notice at any time for any reason. No one other than an officer of the company has the authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing signed by an officer of the company. I agree to make myself available for drug testing if an offer of employment is extended by The Company or randomly at any point during my at will employment with The Company.
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