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Pro-Staff Termite & Pest Control, Inc. Employment Application

This is a drug free workplace offering equal employment opportunities.
Applications are received and employees are hired without regard to race, creed, color, sex, religion, age, national origin, physical or mental handicap, disability, veteran’s status, citizenship status, or any other protected classe under state local or county regulations. The registration 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

Last Name

First Name

Middle Initial

Home Phone

E-mail

Address

City/State/Zip

Cell Phone

Preferred contact method

Home Phone
Cell Phone
E-mail
Other

Your Work History And Any Employment Gaps

Must be completed 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 for a minimum of 15 years.

Employer

Address

City/State/Zip

Job Title

Departure

Resigned

Terminated

Reason

Dates Employed
From (Mo/Yr)
To (Mo/Yr)
Phone
Hourly Rate, Weekly Salary or Other Weekly Earnings
Starting
Ending

Employer

Address

City/State/Zip

Job Title

Departure

Resigned

Terminated

Reason

Dates Employed
From (Mo/Yr)
To (Mo/Yr)
Phone
Hourly Rate, Weekly Salary or Other Weekly Earnings
Starting
Ending

Employer

Address

City/State/Zip

Job Title

Departure

Resigned

Terminated

Reason

Dates Employed
From (Mo/Yr)
To (Mo/Yr)
Phone
Hourly Rate, Weekly Salary or Other Weekly Earnings
Starting
Ending

Tell Us About Yourself
You must answer EVERY question on this application. If a question does not apply, put “N/A.”
What position are you applying for?
What is your salary expectation? ($)
When can you start work? (Date)
How were you referred to us?
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?	Yes No
Are you presently an officer, employee, or employer of another business in our industry or with whom we compete?	Yes No
Have you ever been terminated or asked to resign from a job?	Yes No
Have you ever been refused bond?	Yes No
Are you legally eligible to work in the United States? (Proof of citizenship status/identity required upon hire)	Yes No
List any special skills, training, experience, certifications, or licenses that may be releveant to this position or our company

Your Educational Background
Schooling	Did you graduate?	Years Completed	Degree Received & Major Subject	Name of School	Location
High School or GED	Yes No
Trade, Business or Correspondence	Yes No
College	Yes No
Graduate School	Yes No

Your Educational Background
Necessary for positions that may require use of a personal or company vehicle for work.
Do you hold a valid Driver’s License?	Yes No
If yes, provide state
Have you been convicted of any moving violations in the last 3 years?	Yes No

New* Seminole County Office • 2100 Ronald Reagan Blvd • Ste. 1024 • Longwood, FL 32750
phone 407-331-7378 • fax 407-331-7370 • Serving Seminole AND Volusia Counties
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