Click here to download the Employment Application Or fill out the application form below to apply for a position with Canady and Son Exterminating. Δ EMPLOYMENT APPLICATIONName* First Middle Last Nickname Present AddressStreet*City*State*ZIP*Years*Phone*Social Security Number*Salary Desired*Previous AddressStreet*City*State*ZIP*Years*Are you over age eighteen (18)?* Yes No (If no, employment is subject to verification that you are minimum legal age.)Are you a United States Citizen?* Yes No (If no, can you show proof that you can legally be employed in the U.S.?)* Yes No PRIOR WORK RECORDMost Recent Employer*Address*Phone*Date Hired* MM slash DD slash YYYY Date Left* MM slash DD slash YYYY Wage/Salary*Immediate SuperiorName*Position*Your Job Title/Duties*Reason for leaving*Employer*Address*Telephone*Date Hired* MM slash DD slash YYYY Date Left* MM slash DD slash YYYY Wage/Salary*Immediate SuperiorName*Position*Your Job Title/Duties*Reason for leaving*Employer*Address*Telephone*Date Hired* MM slash DD slash YYYY Date Left* MM slash DD slash YYYY Wage/Salary*Immediate SuperiorName*Position*Your Job Title/Duties*Reason for leaving*Have you ever been discharged or asked to resign a Job?* Yes No If yes, explain*Does your present employer know of your plans to change employment?* Yes No Why do you desire to make change?*How much time have you lost from work during this past year?*Would you have steady transportation to work?* Yes No EDUCATIONAL BACKGROUNDHigh SchoolName and Location*Yrs. comp.*Graduate*Courses*CollegeName and Location*Yrs. comp.*Graduate*Courses*OtherName and Location*Yrs. comp.*Graduate*Courses*REFERENCES(Do not list relatives or former employers.)Name*Address*Phone*Name*Address*Phone*Name*Address*Phone*The facts set forth above in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. I agree to be employed on a Ninety calendar day's probationary period and that I may be dismissed at any time during this period at the discretion of the employer. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, doctors, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.SignatureDate MM slash DD slash YYYY I HEREBY AUTHORIZE THE RELEASE OF INFORMATION CONCERNING MY DRIVING RECORD TO TO ABOVE NAMED COMPANY (CANADY & SON EXTERMINATING, INC.)Name*Date MM slash DD slash YYYY License #*Address*
