Date of Birth  

Level of Education high school or GED   some college  college grad

Do you have a current California driver's license yes no
You will be asked for a copy of your DMV record as a consideration for employment.

Are you a U.S. citizen? yes no
Proof of citizenship or immigration status will be required upon employment.

Have you ever worked in the pest control field or related industry? yes no

If yes please include company name, last date worked, and job duties.

Pest Control licenses held. QAC   QAL   PCA

Are you currently employed? yes no

May we contact your present employer? yes no

Current Employer and phone number.

When are you available to start work?

Do you want to work full time or part-time? Full Time | Part Time

Have you been convicted of a felony and/or misdemeanor within the last 7 years?
yes no

If so, briefly describe the nature of the crime(s), the date and place and the legal disposition of the case. ASWC won't deny employment to any applicant based solely on conviction of a crime. But ASWC may consider the nature, date and circumstances of the offense as well as whether the offense is relevant to the position being applied for.

Employment History

Employer 1

Employer 2

Employer 3

Please List any Foreign Languages you are fluent in writing, reading and speaking.

Fluent Languages

Applicant's Statement (please initial each statement below)

I certify that the answers in this application are true and complete to the best of my knowledge.

I hereby authorize All Seasons Weed Control to investigate my background to determine any and all information of concern to my employment, and I release employers and persons named in my application from all liability for any damages on account of his/her furnishing said information. Additionally, you are hereby authorized to make any investigation of my personal history, education background, military record, and criminal records through an investigative or credit agency or bureau of your choice. I authorize release of this information by the appropriate agencies to the investigating service. This authorization shall be valid for this and for any future reports and updates that may be requested.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that I am required to abide by all rules and regulations of the employer.

Please type your name in this field as acknowledgement of your signature.