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Armed Forces Americas
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Zip Code
Homephone
Cellphone
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Your Emergency Contact
Name
Telephone Number
ALL QUESTIONS MUST BE ANSWERED
STATE “N/A” IF QUESTION IS NOT APPLICABLE
PERMAKILL EXTERMINATING CO., LLC IS AN EQUAL OPPORTUNITY EMPLOYER
Applications are received and employees are hired without regard to race, sex (including sexual orientation, gender expression, and gender identity), pregnancy and related conditions, national origin, color, religion, age, disability, genetic information, military 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.
THIS IS A DRUG-FREE WORKPLACE
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 is your salary expectation for this position?
When can you start work? (Date)
How were you referred to us?
What percentage of time?
How much time have you lost from work during the past 12 months?
Why do you desire to make a change?
What three things are most important to you in a job? (1st thing)
(2nd thing)
(3rd thing)
What three adjectives best describe you? (1st)
(2nd)
(3rd)
What type of work do you most enjoy?
Why do you want to work here?
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
Tell Us About Your Driving Record
(Necessary for positions that may require use of a personal or company vehicle for work)
Tell Us About Your Past
(Answering “yes” to any of these questions is not an automatic bar to employment.)
Your Military Service
Branch of Service
Rank at discharge, if applicable
Dates of Service (from)
Dates of Service (to)
List Duties and Special Training and/or Skills
Your Work History and Any Employment Gaps
(Must be completed even when accompanied by resume) List 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. If you need more space to provide a full work history, request additional work history pages.
Employer
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
Job Title
State Reason
Dates Employed From (Mo/Yr)
To (Mo/Yr)
Phone (Include Area Code)
Supervisor’s Name
Summary of Work Performed and Job Responsibilities
Your Work History and Any Employment Gaps
(Must be completed even when accompanied by resume) List 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. If you need more space to provide a full work history, request additional work history pages.
Employer
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
Job Title
State Reason
Dates Employed From (Mo/Yr)
To (Mo/Yr)
Phone (Include Area Code)
Supervisor’s Name
Summary of Work Performed and Job Responsibilities
Your Work History and Any Employment Gaps
(Must be completed even when accompanied by resume) List 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. If you need more space to provide a full work history, request additional work history pages.
Employer
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
Job Title
State Reason
Dates Employed From (Mo/Yr)
To (Mo/Yr)
Phone (Include Area Code)
Supervisor’s Name
Summary of Work Performed and Job Responsibilities
Agreement and Release
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. If required, I agree to submit to any drug or alcohol testing prior to or after employment.
I authorize the use of any information in this application to verify my statements, and I authorize past employers, 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 I am hired, employment at PermaKill Exterminating 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 PermaKill Exterminating specifically acknowledges such change. I further understand that my at-will employment may be terminated at any time by me or by PermaKill Exterminating 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
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