Applicant Information

Freedom Pest Services is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the fields:

First Name *

Last Name *

Email *

Phone *

City *

State *

Postal Code *

Are a U.S. Citizen or approved to work in United States? *

Yes

What document(s) can you provide as proof of citizenship/legal status? *

Do you consent to a mandatory controlled substance test? *

Yes

Employment Position

What position are you applying for? *

How do you hear about this position? *

What days are you available to work? *

Available Start Date *

Do you have reliable transportation? *

Yes

Do you have any conditions that require job accommodations? *

Yes

If yes, describe the required accommodations:

Have you ever been convicted of a felony or misdemeanor? *

Yes

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualification

Please list below the skills and qualifications you possess for the position for which you are applying. *

Are you comfortable in tight crawl spaces for long periods of time? *

Yes

Are you comfortable in high and low temps? *

Yes

(Note: Freedom Pest Services complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional. )

Education & Training

High School

High School Name

High School Location (City, State)

High School Year Graduated

High School Degree Earned

College/University

College/University Name

College/University Location (City/State)

College/University Year Graduated

College/University Degree Earned

Vocational/Specialized Training

Vocational/Specialized Training Name

Vocational/Specialized Training Location (City/State)

Vocational/Specialized Training Year Graduated

Vocational/Specialized Training Degree Earned

Military Experience

Are you, or have you been a member of the Armed Forces? *

Yes

If yes, what branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Employer 1

(1) Employer Name *

(1) Job Title *

(1) Supervisor Name *

(1) Employer Address *

(1) Employer Phone Number *

(1) Dates Employed *

(1) Reason for Leaving *

Previous Employment

Employer 2

(2) Employer Name

(2) Job Title

(2) Supervisor Name

(2) Employer Address

(2) Employer Phone Number

(2) Dates Employed

(2) Reason for Leaving

Previous Employment

Employer 3

(3) Employer Name

(3) Job Title

(3) Supervisor Name

(3) Employer Address

(3) Employer Phone Number

(3) Dates Employed

(3) Reason for Leaving

References

Please provide 2 personal and professional reference(s) below:

Reference 1: Name *

Reference 1: Relationship *

Reference 1: Phone *

Reference 2: Name *

Reference 2: Relationship *

Reference 2: Phone *

Reference 3: Name *

Reference 3: Relationship *

Reference 3: Phone *

AT-WILL EMPLOYMENT

The relationship between you and the Freedom Pest Services is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Freedom Pest Services. No representative of Freedom Pest Services has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature *

Clear

Date Signed *

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