Pest Control Technician     Name (last, first middle) * Current Address * City, State & Zip * Email Address Are you over the age of 18? * Yes No Are you legally eligible to work in the U.S.? * Yes No Telephone Number * Valid Texas Driver's License? * Yes No Do you have a Texas Pest Control License? * Yes No Technician or Commercial Applicator? What categories? Why are you interested in working for Venus Pest Company? * Desired Start Date: * JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031 Current Employer * Salary: * Last Employer Name: * Dates of Employment (from/to): * Salary: * Address of Previous Employer: * Position Held: * Reason for leaving: * List 3 References and Contact Numbers for each: * Have you ever been arrested for any reason? * Yes No If yes, what is the reason for arrest and current disposition of the case? High School Graduate? * Yes No If yes, High School Name and date of graduation: College Graduate? * Yes No If yes, Name of University, degrees held and date(s) of graduation: Are you currently using illegal drugs? * Yes No On a scale of 1 to 10 with 1 meaning poor and 10 meaning excellent, how do you rate your computer skills? *
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