Employment Application





Fill out the form below to submit your application information the Anteater Exterminating Inc.

Applicant’s Info

Applicant Name (required)
Your Email (required)
Address (required)
City (required)
State (required)
Zip (required)
Daytime Phone
Evening Phone
Social Security Number
Emergency Contact
Who should be contacted if you are involved in an emergency?
Job Position Applied For
Salary Desired (per hour)
Who referred you to our company?
Have you applied to our company previously?
If you have applied before, when?
Are you at least 24 years old?
How will you get to work?
Driver’s License Number
What state issued your license?
Are you willing to work any shift, including nights and weekends?
If no, please state any limitations
If you are offered employment, when would you be available to begin work?
Are you legally eligible for employment in the United States?
Are you able to perform the essential functions of the job position with or without reasonable accommodation?
What reasonable accommodation, if any, would you require?
THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
Have you ever been convicted of any crime, including traffic violations?
If yes, please describe:

Applicant’s Skills

Check those skills that you have. List any other skills that may be useful for the job you are
seeking. Enter the number of years of experience, and circle the number which corresponds to
your ability for each particular skill. (One represents poor ability, while five represents
exceptional ability.)

Word Processing
Accounting/Bookkeeping
Digital Scanning
General Computer Skills
Typing Skills
Phone Skills
Smart Phone Mobile Application Usage
Email and Texting Ability
GPS Navigation Usage
Social Media IM usage

Applicant Employment History

List your current or most recent employment first.

Employer Name
Employer Address
Job Duties
Reason for Leaving
Dates of Employment
Employer Name
Employer Address
Job Duties
Reason for Leaving
Dates of Employment
Employer Name
Employer Address
Job Duties
Reason for Leaving
Dates of Employment
Did you receive a college degree?
Extent of High School Education
Other Training
Awards, Honors, Special Achievements

References

List any two people who would be willing to provide a reference for you.

Reference Name
Reference Address
Reference Phone Number
Relationship to Reference
Reference Name
Reference Address
Reference Phone Number
Relationship to Reference
Please provide any other information that you believe should be considered

Application Terms and Conditions

I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.

I authorize ANTEATER EXTERMINATING, INC. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of ANTEATER EXTERMINATING, INC., except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. (required)
I Agree to the Terms