Abra Kadabra Pest Control Application

Employment Application

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This is a Drug-Free Workplace Offering Equal Employment Opportunities. Applications are received and employees are hired without regard to race, color, sex, religion, age, genetic information, national origin, disability, veteran’s status, citizenship status, or any other protected classes under state, local, or county regulations. The receipt of this application does not mean that job openings exist and does not obligate us in any way. We appreciate your interest in our organization.

Your Personal Information

Name

(Last/First/Middle Initial)

Home Phone

Address

Cell Phone

City

State

Zip Code

E-mail

Preferred method of contact:

Home PhoneCellEmailOther:

Your Work History And Any Employment Gaps

Must be completed even when accompanied by a resume. List the most recent or current job first. You must include any gaps in employment, with a full explanation and dates for the gap. You must also provide a complete work history for a minimum of seven years. If you need more space, photocopy page 2 or fill out a separate page and attach it to this form.

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

More Work History

If you need more space, please photocopy this page or fill out a separate page and attach to this form.

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

Employer	Phone		Summary of Work Performed & Job Responsibilities
Address (City, State, Zip)	Date Employed
	From (Mo/Yr)	To (Mo/Yr)

Job Title		Supervisor's Name
Voluntarily ResignedEmployment Terminated State Reason:

Tell Us About Yourself

You must answer every question on this application. If a question does not apply, put “N/A.” Please print.

What position are you applying for?

What are your pay expectations? $

When can you start work? (Date)

How were you referred to us?

(If you were referred by a person, please provide the name)

Have you completed an application here before?

YesNo

If yes, date/location

Have you been employed here before?

YesNo

If yes, date/position/location

Are there any days or times during the week that you are not available to work?

YesNo

(Reasonable accommodation of religious needs that do not create an undue hardship will be considered, if applicable)

If yes, please list the days/times you are not available to work

If necessary, can you provide proof that you are over any minimum work age requirement?

YesNo

Are you willing to work overtime?

YesNo

Do you have steady transportation to work?

YesNo

Can you travel, if required?

YesNo

What percentage of time?

Are you on a layoff and subject to recall?

YesNo

May we contact your present employer?

YesNo

How much time have you lost from work during the past 12 months?

Are you now, or do you expect to be, engaged in any other business or employment while working here?

YesNo

If yes, please explain:

Are you presently an officer, employee, or employer of another industry business or with whom we compete?

YesNo

If yes, please explain:

Please list any businesses that you own or have a majority interest in

Have you ever been terminated from employment or asked to resign from a job?

YesNo

If yes, please explain:

Why do you desire to make a change?

Are you legally eligible to work in the United States?

YesNo

(Proof of citizenship status/identity required upon hire)

What three things are most important to you in a job?

(1)

(2)

(3)

What three adjectives best describe you?

(1)

(2)

(3)

What type of work do you most enjoy?

Why do you want to work here?

Have you ever been a customer of ours?

YesNo

If yes, what services did you receive?

Tell Us About Your Special Skills And Qualifications

List any special skills, training, experience, certifications, or licenses that may be relevant to this position or our company

List any professional, trade, business, or civic activities or offices held that would relate to working here

List any foreign languages that you fluently speak, read, and/or write that would relate to working here

List software programs that you are proficient in

Your Educational Background

Schooling	Did you graduate?	Years Completed	Dgree received and major subjects	Name of school	Location
High School or GED	YesNo
Trade, business or correspondance	YesNo
College	YesNo
Graduate School	YesNo

Tell Us About Your Driving Record

Necessary for positions that may require use of a personal or company vehicle for work Do you hold a valid and unexpired Driver’s License that is not currently suspended or revoked?

YesNo

If yes, provide the state:

Have you been convicted of any moving violation(s) in the last 5 years?

YesNo

If yes, give date(s) and explanation of each:

Military Service

Branch of Service

Rank at Discharge

(if applicable)

Dates of Service: From

List Duties and Special Training and/or Skills

Non-Compete Agreement

Are you currently subject to a Non-Compete Agreement or Restrictive Covenant that would prohibit you from working at our company in the position for which you are applying?

YesNo

If yes, provide a copy of the agreement and state the name of the company:

Tell Us About Your Past

Answering “yes” to any of these questions is not an automatic bar to employment.

Have you ever had any professional license or certificate suspended or revoked (e.g., pest control operator’s license, law license, real estate license, etc.)?

YesNo

If yes, list the professional license(s) and/or certificate(s) that were suspended or revoked and state when and why the license(s) and/or certificate(s) were suspended or revoked:

Agreement and Release

For the purpose of this agreement and release, the organization that has provided you with this application is referred to as “the company,” “this company,” or “you” in the following paragraphs:

The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application (even if discovered after employment) or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit, and motor vehicle records through any investigative or credit agencies or bureaus of your choice. You are also authorized to administer a personality profile or other pre-employment tests and verify my background. A criminal record or sentence is not an automatic disqualification for employment. I agree to submit to any drug or alcohol testing prior to or after employment.

In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. I also acknowledge that the company may conduct a search for information about me that is in the public domain, including, but not limited to, information on social networking sites. In exchange for the consideration of my employment application by this company, I hereby release and forever discharge this company (including its directors, officers, employees, and agents) and my past and/or present employers (including their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize past employers, doctors, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.

I understand that if my application is accepted and if I am hired, employment with this company at all times is employment “at will.” It is further understood that this “at will” relationship may not be changed by any written document, verbal statements, or by conduct unless an authorized executive of this company specifically acknowledges such change. I further understand that my “at will” employment may be terminated at any
time by this company or myself and includes no guarantee, contract, or promise of employment for any specific length of time. I understand that the first 90 days of employment is a new-hire introductory period. Submission of this application does not imply that I will be hired.

I have read, understand, and by my signature consent to these statements:

Signature of Applicant

Date

Your Emergency Contact

In Case of an Emergency, I Authorize You to Contact: Name

Telephone Number

Employment Application

Your Personal Information

Your Work History And Any Employment Gaps

More Work History

Tell Us About Yourself

Tell Us About Your Special Skills And Qualifications

Your Educational Background

Tell Us About Your Driving Record

Military Service

Non-Compete Agreement

Tell Us About Your Past

Agreement and Release

Your Emergency Contact

Social Media

Associations

Reviews

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