PRE-APPLICATION FORM
Thank you for your interest in our company, and for submitting your resume for employment consideration.
Please answer each of the following questions as required, or as applicable to the type of position in which you are interested.
You will be contacted if your background and experience appear to meet our requirements.
Questions with an asterisk ( * ) are required.
About You
First Name *
Last Name *
Street Address *
City or Town *
State *
Telephone *
Email Address *
What type of position interests you? *
What is your highest education completed? *
Are you presently working? *
If yes to previous question, what is your position title? Briefly describe your key responsibilities.
If you are presently unemployed, select the month and year when you were last employed.
If you are presently unemployed, briefly explain the reason for leaving your last position.
How many companies have you worked for in the past 12 months? *
How many companies have you worked for in the past 3 years? *
How many companies have you worked for in the past 5 years? *
How many companies have you worked for in the past 10 years? *
Are you authorized to work in the United States? *
Please attach your resume.
Complete this section ONLY if you are interested in a SERVICE TECHNICIAN position (if this section not applicable, skip to next section)
Do you have a valid driver's license?
If yes to previous question, how many tickets have you had in the past 3 years?
Have you had a citation for driving under the influence in the past 5 years?
Are you comfortable working from ladders of various heights up to 24 feet?
Do you have any physical limitations that would prevent you from regular walking, bending, crawling, lifting, or climbing?
If yes to previous question, please describe any physical limitations.
Do you presently work in the pest management industry?
Have you ever worked in the pest management industry?
If yes to previous question, briefly describe your responsibilities and experience.
Briefly describe any pest control licenses, certifications, or registrations you presently hold (or have held in the past).
Will you work overtime, including late nights, early mornings, and/or weekends when necessary?
If yes to previous question, briefly describe when you would generally be available to work outside normal business hours (8 AM to 5 PM, Mon-Fri).
Why do you think you would be a great Service Technician?
Complete this section ONLY if you are interested in a SALES position (if this section not applicable, skip to next section)
Is your current position, or was your most recent position in sales?
IF yes to previous question, please describe any physical limitations.
Describe any awards or special recognition or accomplishments you have achieved in sales.
Why do you believe you would succeed in a sales position with our company?
Complete this section ONLY if you are interested in a MANAGEMENT or SUPERVISORY position (if this section is not applicable, skip to next section)
Is your current position, or was your most recent position in management / supervision?
Describe any awards or special recognition or accomplishments you have achieved in management/supervision.
Why do you believe you would succeed in a management/supervision position with our company?
Complete this section ONLY if you are interested in a CUSTOMER SERVICE or OFFICE ADMINISTRATION position (if this section is not applicable, skip to end)
Is your current position, or was your most recent position in Customer Service and/or Office Administration?
How many words per minute can you accurately type?
List the software programs you can effectively use.
List any certifications, credentials, or technical skills you have that would help you in customer service or office administration.
Can you regularly work from 8 AM to 5 PM Monday through Friday?
Can you work an occasional Saturday (up to two per month if needed)?
Thank you again for your interest in our company. We will contact you if your background and experience appear to fit our requirements.