Employment Application
We are locally owned and pride ourselves on the highest Quality of Professionalism and Workmanship. We are built on a Reputation for Dependability and Trustworthiness. We are seeking Reliable and Friendly people to work for a fast growing, yet family friendly company.
Personal Information
Applicant Name
Applicant Address
City, State, Zip
Applicant Emails
Applicant Phones
How did you learn about us?
Please Select One:
Advertisement
Friend
Walk-In
Clark Employee
Employment Agency
Relative
Other
If Other, Please specify
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Select One...
Yes
No
Do you have a current and valid CA driver's license?
Select One...
Yes
No
Have you ever filed an application with us before?
Select One...
Yes
No
If yes, enter date
Have you ever been employed with us before?
Select One...
Yes
No
If yes, enter date
Have you ever worked in the pest control field or a related industry?
Select One...
Yes
No
If yes, when and where
Are you currently employed?
Select One...
Yes
No
May we contact your present employer?
Select One...
Yes
No
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Proof of citizenship or immigration status will be required upon employment.
Select One...
Yes
No
On what date would you be available for work?
Work availability per day
Select One...
Full day
Half day
3 hrs or less
Other
Are you currently on "lay-off" status and subject to recall?
Select One...
Yes
No
If yes, please explain
Have you been convicted of a felony within the last 7 years?
Select One...
Yes
No
Conviction will not necessarily disqualify an applicant from employment.
If yes, please explain:
Indicate any foreign languages you can speak, read and/or write and your proficiency
Education
Highest Level Attained
Select One...
High School
Undergrad/College
Graduate School
Other
Name & Location
Course of Study
Years Completed
Diploma Degree
Describe any specialized training, apprenticeship, skills, hobbies and extracurricular activities:
Describe any job-related training received in the United States Military:
Employment Experience
Start with you present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.
Employer 1
Employer
Address
Job Title
Supervisor
Telephone
Reason for Leaving
Employed between
Hourly Rate/Salary
Work Performed
Employer 2
Employer
Address
Job title
Supervisor
Telephone
Reason for Leaving
Employed between
Hourly Rate/Salary
Work Performed
Employer 3
Employer
Address
Job Title
Supervisor
Telephone
Reason for Leaving
Employed between
Hourly Rate/Salary
Work Performed
Other qualifications
Summarize special job-related skills, qualifications, employment, or other experience:
