Employment Application

Clark Exterminating prides itself on being an Equal Opportunity Employer. We will not discriminate in employment because of race, color, religion, sex, national origin, disability or age.

All information obtained within this application will be held in strict confidence, subject to applicable law.

  • Please complete all applicable sections and sign electronically at the bottom.
  • We are a drug-free workplace. Screening tests for illegal drug use will be required as a condition of employment.
  • Travel may be required for certain positions

Applicant Information

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Are you a U.S. citizen?(Required)
If no, are you authorized to work in the U.S.?(Required)
Have you worked for Clark Exterminating before?(Required)
Are you over 18 years of age?(Required)
Have you ever been convicted of a misdemeanor or felony?(Required)

Educational Background

High School Graduate or Equivalent?

Previous Employment

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.

Employer 1
Supervisor's Name
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May we contact this employer?

Employer 2
Supervisor's Name
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May we contact this employer?

Employer 3
Supervisor's Name
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May we contact this employer?
Does the position you are applying for require driving?
NOTE: If you are selected for an interview, you are required to present a copy of your driving record that is not more than 4 weeks old. After being hired, a copy of this driving record will be placed into your personnel file and an annual update will be required.

Before you sign this application

Check over your answers to make sure that all questions have been completed properly. If the job you are applying for requires a college degree or certification, a copy of your transcript, certificate, or license may be required as a condition of employment. I, the the below signed individual, hereby declare that to the best of my knowledge and my ability, the information on this application is true and factual. I understand that if I am hired, that my employment is not for any definite period of time, and I may be terminated at any time. I understand that if I state that I have a college degree, and do not have one, that my application will be rejected or, if hired, I will be terminated in accordance with Arkansas code 21-12-102. I understand that my application may be subject to disclosure as a public record under the Arkansas Freedom of Information Act. I understand that certain jobs may require an acceptable driver's safety record, and that if my current or future driver's record is unacceptable, my application may be rejected and, if hired, I may be subject to termination. I understand that I will be required to provide proof of eligibility to work in the United States pursuant to the Immigration Reform and Control Act of 1986 as a condition of my employment. I understand that false, misleading, or incomplete statements could lead to my dismissal as an employee or rejection as an applicant. I also understand that some jobs require special background checks, security clearance, or compliance with other specific company hiring policies prior to my employment, or as a condition of employment; and that failure to meet these requirements may lead to my rejection as an applicant for, or termination from, that job. I affirm that it is my genuine intent to seek, and if offered, employment with Clark Exterminating Co., Inc., and this application is submitted solely for that purpose and for no other purposes.


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.
Electronic Signature(Required)
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Please Note


NOTE: Additional personal information will be required to complete benefit forms after being hired.
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