List below your last three employers, starting with the most recent. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.
False information given or implied on an application form is grounds for immediate dismissal without further notice.
I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if Clark Exterminating at any time learns of falsification or material omission in the information provided on this application form and related documents. Clark Exterminating may contact my former employer in connection with the consideration of my employment with them. All references are hereby authorized to release all information that they may have relevant to my employment with them. I hereby release Clark Exterminating and its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references.
I hereby understand and acknowledge that, unless otherwise defined by application law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
CONSIDERATION OF EMPLOYMENT WILL NOT BE GIVEN TO ANY APPLICANT WHO DOES NOT SIGN THE ABOVE STATEMENT.
NOTE: Additional personal information will be required to complete benefit forms after being hired.