FORT MYERS PEST CONTROL - APPLICATION FOR EMPLOYMENT

WORK EXPERIENCE

Please specify your complete full-time and part-time employment history including self-employment. You may include any verified work performed on a volunteer basis. Begin with your most recent employer.
Resume / Certifications / Cover Letter

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Add Work Experience
Company Name
Phone Number

Area CodePhone Number
Beginning of Employment

MonthDayYear
Date
End of Employment

MonthDayYear
Date
Monthly Wages
Name of Supervisor

First NameLast Name
Title of Supervisor
Supervisor Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for Leaving

Add Work Experience
Company Name
Phone Number

Area CodePhone Number
Beginning of Employment

MonthDayYear
Date
End of Employment

MonthDayYear
Date
Monthly Wages
Name of Supervisor

First NameLast Name
Title of Supervisor
Supervisor Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for Leaving

Add Work Experience
Company Name
Phone Number

Area CodePhone Number
Beginning of Employment

MonthDayYear
Date
End of Employment

MonthDayYear
Date
Monthly Wages
Name of Supervisor

First NameLast Name
Title of Supervisor
Supervisor Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reason for Leaving

PROFESSIONAL REFERENCES

Individuals not related to you. Business references preferred.
All employers including your current employer may be contacted to verify the information you provide. May we contact your current employer prior to any offer of employment?

YesNo

Add Reference
Name

First NameLast Name
Occupation
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known and Capacity

Add Reference
Name

First NameLast Name
Occupation
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known and Capacity

Add Reference
Name

First NameLast Name
Occupation
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known and Capacity

Education*
Job Related Skills and Qualifications
Please summarize your job-related skills and qualifications
If applying for a position that will include driving: Can you provide a valid driver license?

YesNo
Emergency Contact Name

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
I certify that all of the information furnished on this application and during the application process is true, complete, and correct to the best of my knowledge, I understand that any misrepresentation or omission of facts called for may result in refusal to hire, or if hired, may result in my dismissal at any time regardless of when the false answer or omissions are discovered.
Initials*
Have you read and can you perform the duties as described in the job description for the position that I am applying for?
Initials*
I recognize that this employment application is not an offer of employment. I agree that if I am hired by Fort Myers Pest Control, I will be an at-will employee, meaning that either Fort Myers Pest Control or I may end the employment relationship at any time without cause or notice.
Initials*
I further understand and agree that, except for my at-will employment status, if hired, my wages, hours, working conditions, job assignment(s), and compensation rate(s) will be subject to change by Fort Myers Pest Control.
Initials*
I understand that If I am offered employment, I may be required to sign a non-solicitation and non-disclosure agreement, as a condition of the employment.
Initials*
I understand that Fort Myers Pest Control may share information contained in this application with other Fort Myers Pest Control employees for employment and administrative purposes and hereby consent to such transfer.
Initials*
I hereby authorize, to the extent allowed by applicable federal state and local laws, Fort Myers Pest Control to condust its own investigation of my references, employment history and education and, further, authorize the references and prior employers I have listed to disclose to Fort Myers Pest Control information related to my employment history and qualifications for the position for which I am applying, without giving me prior notice of such disclosure. In addition, I hereby release Fort Myers Pest Control, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
Initials*
I understand and expressy agree that if employed by Fort Myers Pest Control, storage areas provided for me (locker, desk, etc.) are open to investigation by Fort Myers Pest Control without prior notice to me.
Initials*
I agree to undergo a pre-employment physical examination consistent with federal and state law.
Initials*
I agree to submit to legally permissible drug testing upon an offer of employment from Fort Myers Pest Control and prior to starting work. I agree that any offer of employment is contigent upon my receiving a negative test result.
Initials*

APPLICANT'S STATEMENT & ACKNOWLEDGEMENT

My signature below certifies that I agree to be bound by the terms and conditions stated in this application, which contains all the understandings between Fort Myers Pest Control and me concerning the topics addressed herein, and supersedes any prior inconsistent understandings between Fort Myers Pest Control and me on such issues.
Signature

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This application will only be considered for 30 days. If you have not been hired within 30 days of submnitting this application and you wish to continue to be considered for employment, you must complete another application.
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APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION

PERMISSION TO WORK

REFERRAL INFORMATION

WORK EXPERIENCE

PROFESSIONAL REFERENCES

Job Related Skills and Qualifications

APPLICANT'S STATEMENT & ACKNOWLEDGEMENT