JOB APPLICATION

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Image FieldReady To Join Our Team?
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Date You are Available to Start
Date
Year
Month
Day
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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Area Code
Phone Number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Name of College Attended
Put "None" if not attended
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City, State of College
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Type of Degree Attained or How Many Years Attended?
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Name of High School
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City, State of High School
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Year Graduated High School
Put "N/A" if Not Completed
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Current Employment Status
Working Full-Time
Working Part-Time
Self-Employed
Unemployed
Attending School
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Name of Current or Last Employer
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Address of Current or Last Employer
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Phone # of Current or Last Employer
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Dates You Worked for this Employer
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Job Title and Description of the Work You Performed
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Ending Pay Rate
20
Reason You Left or are Leaving that Employer
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Name of Previous Employer
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Address of Previous Employer
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Phone # of Previous Employer
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Dates You Worked for this Employer
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Job Title and Description of the Work You Performed
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Ending Pay Rate
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Reason You Left that Employer
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Name of Previous Employer
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Address of Previous Employer
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Phone # of Previous Employer
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Dates You Worked for this Employer
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Job Title and Description of the Work You Performed
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Ending Pay Rate
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Reason You Left that Employer
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Including Your Current Employer, Military, and Self-Employment, How Many Jobs Have You Held in the Last 5 Years
1
2
3
4
5
More than 5
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Please Explain Any Gap in Employment that Lasted Over 30 DaysIf No Gaps, put "None"
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Are you Legally Eligible to Work in the United States?
YES
NO
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Military/Veteran Status
Active Duty
Reserves
Veteran (Discharged Over 1 Year ago)
Veteran (Discharged Under 1 Year ago)
Never Served
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If Offered Conditional Employment, Are You Willing to Submit to a Criminal Background Check?A Conviction Does No t Automatically Disqualify You From Employment
YESNO
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You Will Be Driving Company Vehicles. Our Insurance Company Will Run Your Drivers License for Accidents and Tickets. You May Explain and Accidents or Tickets here. Expunged and Sealed Convictions Do Not Need to Be Explained.
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Do You Have A Smart Phone to Use During the Course of Your Employment?Text and Data Access are Needed
YESNO
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Do You Understand that After Training, You Will Work a 4 Day Workweek, if Full-Time (8-12 hr days on Average)? Part-Time will be 2-3 set days (8-12 hrs Avg).
YESNO
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Do You Have Reliable Transportation to Our Office in Ruskin Daily?
YESNO
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Do You Understand That You Need to Be to the Office at 7am Daily?
YESNO
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Do You Understand that 2 Weeks of Training Will Be Provided at $16/Hr? As an Assistant You Will be Paid a 35% Commission of your portion of every job completed, plus tips. When You Reach Technician Status You Will Be Paid a 40% Commission on Each Job, Plus Tips.
YESNO
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Do You Feel Physically Capable of Completing the Job, Which Includes Working from Ladders/Roofs up to 3 Stories, Working around Pets and Pests (Allergies), Dust, Pollen, etc. (Allergens), Working in Hot and Cold Temperatures, Lifting 40 Pounds, and Driving in Traffic?
YESNO
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Do You Consider Yourself A Reliable Person?
YESNO
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Do You Proficient in English (Speaking and Understanding)
YESNO
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Do You Understand That We Are a Smoke/Vape-Free Workplace? We Do Not Allow Smoking or Vaping on Our Property, on Job Sites, or in Company Vehicles.
YESNO
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Do You Understand that We Are a Drug-Free Workplace? We Have the Right to Conduct Drug Screenings Prior to Employment and Periodically During the Course of Your Employment With Us.
YESNO
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Do You Feel Like You Are Able to Work Independently, Without Direct Supervision?
YESNO
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Do You Understand You Will Be Required to Sign a Non-Compete and a Non-Disclosure Agreement?
YESNO
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Why Do You Think This Job is a Good Fit For You?
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Cover LetterIf You Would Like to Tell Us a Little More About Yourself, Please Feel Free to Add A Cover Letter Below.
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Cover LetterAlready Have a Cover Letter? Upload it Here!
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Select files to upload
Max. file size: 10.6MB
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Electronic SignatureBy Signing and Submitting Below, You are Confirming that the above Statements are True to the Best of Your Knowledge. You Acknowledge this Electronic Signature as Your Legal Electronic Signature, Which Grants Us Permission to Conduct Background Checks as We Deem Necessary.
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