Employment Application Ready to join the best of the best? Take the first step in becoming a No Bugs employee by filling out this application and submitting your resume! Employment Application Step 1 of 4 25% Positions(s) applied for:*Admin/OfficePest Control Technician (No Experience)Field Rep Br 2Filed Rep Br 3Applicator Br 2Applicator Br 3License number*Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best phone number to reach you:*Other Phone:E-mail:* How did you hear about us?Select From ListSearch EngineLinkedInIndeedRelativePrivate EmploymentWalk InOtherBest time to contact you:*Are you currently employed? Yes No Previously employed by our company? Yes No From: MM slash DD slash YYYY Until: MM slash DD slash YYYY Do any family members work at our company? Yes No If yes, name(s):Are you legally eligible for employment in this country?* Yes No Date available for work? MM slash DD slash YYYY Type of employment desired:* Full time Part time On call Any Part Time Hours05101520253035Have you ever been convicted of a crime? Yes No If yes, please explain:If the position for which you have applied requires a vehicle, do you have a valid driver's license? Yes No EducationHigh SchoolGraduated Yes No College/Technical SchoolGraduated Yes No Course/MajorDegreeFrom MM slash DD slash YYYY To MM slash DD slash YYYY Graduate SchoolGraduated Yes No Course/MajorDegree/ DiplomaFrom MM slash DD slash YYYY To MM slash DD slash YYYY Other EducationGraduated Yes No Course/MajorDegree/ DiplomaFrom MM slash DD slash YYYY To MM slash DD slash YYYY Skills and QualificationsList any certificates, licenses, skills and special training to perform job related functions in the position for which you are applying. Work HistoryStart with your present or most recent job. Company NameFrom MM slash DD slash YYYY Until MM slash DD slash YYYY Your TitleCompany Street AddressTelephoneSupervisorCity and StateZIPReason for Leaving Full Time Part Time Your Specific DutiesCompany NameFrom MM slash DD slash YYYY Until MM slash DD slash YYYY Your TitleCompany Street AddressTelephoneSupervisorCity and StateZIPReason for Leaving Full Time Part Time Your Specific DutiesCompany NameFrom MM slash DD slash YYYY Until MM slash DD slash YYYY Your TitleCompany Street AddressTelephoneSupervisorCity and StateZIPReason for Leaving Full Time Part Time Your Specific DutiesCompany NameFrom MM slash DD slash YYYY Until MM slash DD slash YYYY Your TitleCompany Street AddressTelephoneSupervisorCity and StateZIPReason for Leaving Full Time Part Time Your Specific Duties ReferencesPlease list three work, volunteer or school references not previously listedNameCompany NameTelephonePosition or TitleRelationshipNameCompany NameTelephonePosition or TitleRelationshipNameCompany NameTelephonePosition or TitleRelationshipEmployment Supplement I am declining to provide information for the employment supplement. (If you choose to decline, please be sure to check the box or you will be prompted to complete the supplement.) Our company has adopted an Affirmative Action Plan in compliance with State and Federal Law and City of Santa Clarita/Los Angeles County policies and ordinances. The disclosure of the following information is voluntary and allows us to meet federal, state and city government reporting requirements. This information will be removed from your employment application, and the data will be treated as confidential. It will not be used in making employment decisions. Refusal to provide this information will not subject you to adverse treatment.Legal Notifications & Acceptance* No Bugs is an equal opportunity employer. This application will not be used for limiting or excluding and applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he/she should contact a company representative. The relationship between you and No Bugs is referred to as “employment at will”. This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or No Bugs. No representative of No Bugs has the authority to enter into any agreement contrary to the forgoing “employment at will” relationship. You understand that your employment is “at will” and that you acknowledge that no oral or written statement or representation regarding your employment can alter your “at will” employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company’s President. This application and submission of the application does not guarantee employment. Upload your ResuméAccepted file types: pdf, Max. file size: 50 MB. I understand that any oral or written statement that is false, fraudulent or misleading that is contained in this application or attached materials will result in the rejection of my application, denial of employment and/or termination, if discovered after employment.I certify that all statements contained in this application are true and complete whether made by me or others at my request. I understand that I must prove that I am authorized to work in the United States if I am hired. I authorize my driving record to be checked if the position for which I am applying requires driving. I understand that California State Law requires a criminal justice check/DOJ/FBI to be conducted for those who are employed in the role of a state licensed Inspector/Applicator I authorize the release of information regarding my past employment as requested by No Bugs Inc. Candidates selected for interviews will be asked to acknowledge the above statements by signing and dating the submitted application as part of the interview process. Your application will be kept active for a period of 60 days after it is received. Δ