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* marked fields are mandatory

Required Information

You must be 21 years of age. All applicants will be required to pass drug and alcohol screening, a background check and must have a clear driving record.

Answer all applicable questions. All applications are confidential

This can be printed and faxed to 818-474-8682 or e-mail to info@borite.com

Last name *
First Name *
Middle Name/Initial
Home Phone *
E- mail address *
Cell Phone *
Home Address *
City *
State *
Zip *
Drivers License *
State Issued *
Have you used any other names or social security numbers other than listed above? *
Today's Date (mm/dd/yy) *
Personal Information
Position Applied For *
Monthly Income Desired *
If hired, can you provide verification of your legal right to work in the United States? *
 
Do You Want to Work *
 
Check All Days and Hours That Apply if
Part-time *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
* this field is required
 
Do you have adequate transportation to get to work? *
 
Have you ever worked under a different name? *
 
Please list other names used (if applicable) *
1 Have you ever been convicted of a felony? *
 
If yes, list offense, date and disposition of case *
1 Conviction will not necessarily bar employment. Consideration will be given to the nature of the crime, its seriousness, age at time of offense, rehabilitation and the position for which you are applying.
 
Do you object to irregular hours? *
 
Do you object to night work? *
 
Are you willing to work overtime? *
 
How soon after accepting an offer would you be able to start? *
 
Do you speak fluent English? *
 
Do you speak any other languages? *
 
Do you have any desire to be your own boss and operate your own office? *
 
If you had the opportunity to be set up with your own franchise or branch in five years would you be? *
 
Are you the type of person that believes in hard work and feels hard work should be rewarded? *
 
Are you the type of person that enjoys learning? *
 
Do you have strong reading skills? *
 
Do you catch on quickly when shown how to perform a task? *
 
Have you experienced claustrophobia (abnormal fear of being in closed or narrow spaces)? *
Education
High School
Name
Location
Graduated
 
Date
Highest Level
University : (Transcript May Be Desired)
Name
Location
Graduated
 
Date
Highest Level
Date of Certificate
Major and Minor Course of Study
GPA Overall
Other, Trade, Technical, Military
Name
Location
Graduated
 
Date
Highest Level
Date of Certificate
Major and Minor Course of Study
GPA Overall
 
What other experiences, skills or training do you have which you feel would qualify you to work for Borite Termite & Pest Treatments Corporation?
Experience
Start with present or most recent employer and last two employers (please be specific)
 
Company Name
Address
Phone
Dates Employed:  
(Start mm/dd/yy)
(End mm/dd/yy)
Salary  
(Start)
(End)
Position Held
Reason for Leaving
Name of Supervisor
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Company Name
Address
Phone
Dates Employed:  
(Start mm/dd/yy)
(End mm/dd/yy)
Salary  
(Start)
(End)
Position Held
Reason for Leaving
Name of Supervisor
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Company Name
Address
Phone
Dates Employed:  
(Start mm/dd/yy)
(End mm/dd/yy)
Salary  
(Start)
(End)
Position Held
Reason for Leaving
Name of Supervisor
Military
 
Were you ever in the armed forces?
Branch of Service:
Reserve Status:



Date of Entry
Starting Rank
Date of Discharge
Rank at Discharge
Specialized Training or Experience (Identify)
Office Skills
Typing
WPM
10-Key by Touch
 
Calculator
 
PC Skills
PC Type
 
Specialized Training or Experience (Identify)