ACE PEST CONTROL Employment Application

A Professional Employer Organization

We appreciate the opportunity to review your qualifications for employment with the company. So that we can thoroughly consider your special skills and abilities, we would appreciate your completion of our Employment Application. This employment application will only be valid for 60 days from the date of the application. If you wish to be considered for employment subsequent to that date, a new application must be completed. Thank you.

(PLEASE PRINT AND COMPLETELY ANSWER ALL QUESTIONS)

ACE PEST CONTROL and its Clients fully subscribe to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans With Disabilities Act, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants in order that they may be given a full and fair opportunity to be considered for employment. As Equal Opportunity Employers, we intend to comply fully with applicable federal and State employment laws and the information requested on this application will only be used for purposes consistent with those laws. Applications are only accepted for positions currently available and will only be considered for sixty (60) days from today's date or until the position applied for is filled, whichever first occurs.

POSITION APPLIED FOR:     DATE:

PERSONAL DATA:    Salary expectations:

Full Name:  Social Security #

Street Address City   State   Zip Code

Telephone Number   E-Mail

Are you at least 18 years old? Select Yes No   If not, state your age for child labor law purposes only

Are there any days, shifts or hours you will not work?  

If yes, please explain:

Are you available for out of town work? Select Yes No   Will you work overtime, if required? Select Yes No

When will you be able to start work?

Have you taken any illegal drugs in the last 30 days? Select Yes No

How did you learn of our Company?

If referral, who were you referred by?

Have you ever applied or worked at ACE PEST CONTROL SERVICES before? Select Yes No

If yes, provide dates:

Are you legally authorized to work in the United States? Select Yes No

Will you now or in the future require sponsorship for employment visa status (e.g., H-1 B visa status)? Select Yes No

Note: The Federal Immigration and Reform and Control Act of 1986 requires that an INS Employment Eligibility Verification "Form 1-9" be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.

Have you been convicted of a felony? Select Yes No   If yes,  Date of Conviction:

Have you been convicted of misappropriation of funds, embezzlement, or similar for other dishonest conduct; or an offense involving the use of a weapon; for burglary, robbery, breaking and entering or theft; or physical assault or other violent crime? Select Yes No

Have you ever been a defendant in a civil action for an intentional tort (intentional commission of a wrongful act)? Select Yes No

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EMPLOYMENT HISTORY:
(Please complete for all full-time or part-time employment beginning with most recent employer.)

Please explain any gaps in your employment history:

  

Have you ever been discharged or forced to resign?

If yes, explain:

Did you receive any discipline in the last 12 months of active employment?

  

If yes, please explain:

Were you given a performance evaluation within the last 12 months of active employment? Select Yes No

If yes, what was the range of scores used and what was your score?  

  

Have you signed any non-compete or non-solicit agreement with any other employer that might restrict
you from working for this company? Select Yes No

If so, please explain:
(you may be required to furnish a copy of the agreement)

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MILITARY:(complete only if you served in the military.)

Branch of Service:   Number of Years/Months of Service:

Rank at Discharge:   Date of Discharge:  

Reason for leaving:

Describe any military skills, training or experience you believe are relevant to the job applied for:

   

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APPLICANT'S ACKNOWLEDGMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document will disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document will be cause for my dismissal at any time without prior notice.

I understand that, if employed, my employment is not for a specific term and may be terminated by me or my Employer(s) with or without notice or cause at any time. I further understand that no oral promise, Employer(s) policy, custom, business practice or other procedure (including the Personnel Handbook or any personnel manuals) constitute an employment contract or modification of the at-will employment relationship between me and the Employer(s). 

I understand that applicants for certain positions may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver's examination; submit to a background investigation; take a pre-employment drug test. If I am offered employment or start work before any required test is completed, my employment is contingent on a satisfactory result on all required tests. I authorize ACE Pest Control and its clients to release the results of background checks (if any) and my pre-employment drug/alcohol test (if any), any information on this application and any relevant information about me to each other and to other ACE Pest Control clients for whom I have applied for employment, and release ACE Pest Control and its clients from any and all claims related to the lawful release of this information. 

I acknowledge that this application will remain active for 60 days from this date. If I have not heard from the Company at the conclusion of this 60 day period, it is my responsibility to complete a new application if I still wish to be considered for employment.

Signature:    Date:

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ADDITIONAL COMMENTS
 

* This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements on this form is grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of race, creed, color, national origin, sex, religion, age, marital status, disabilities, veteran status , citizenship or sexual orientation. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. Applicants are requested not to give any information which is prohibited by federal, state, or local law. You must be able, at the time of employment, to submit verification of your legal right to work in the U.S.