Employment Application If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required INFORMATION Name * Address * Home Phone * Cell Phone * Employment Seeking Full-timeSeasonalPart-time EDUCATION High School Attended Years College Years Studied Who referred you to our company? Is there anything would prevent you from regularly working evenings or weekends April-September? YesNo If yes, explain Early hours? YesNo If no, explain Late Hours? YesNo If no, explain Are you able to climb a ladder? YesNo Are you able to lift objects weighing up to 75lbs.? YesNo Are you comfortable working in tight/confined places? YesNo Are you comfortable working in high places? YesNo Do you have any part time jobs? YesNo PREVIOUS WORK EXPERIENCE Most Recent Employer: Adddress: Supervisor: Wage: Time Employed: Reason For Leaving: Next Most Recent Employer: Adddress: Supervisor: Wage: Time Employed: Reason For Leaving: Next Most Recent Employer: Adddress: Supervisor: Wage: Time Employed: Reason For Leaving: Paste resume below It is the policy of Buckeye Exterminating, Inc., to provide equal employment opportunities to all applicants & Employees without regard to any legally protected status such as race, color, religion, national origin, age, disability, veteran status. By submitting this form, I attest that the information about is accurate and true to the best of my knowledge.
