Nit Picky Professional Head Lice Treatment
Treating Head Lice Safe and Effectively
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Head Lice Technician Application
First Name:
Last Name:
Address:
City:
State
Zip Code:
Best Phone Number To Reach You:
Email Address
Do you have any experience with head lice?
Yes
No
If yes, please explain
Do you have restrictions on ability to travel?
Yes
No
If yes, please explain:
Do you currently work for any other lice removal companies?
Yes
No
Have you worked for any lice removal companies in the past?
Yes
No
If you answered yes to working for lice removal companies in the past or present, please explain:
Do you have a cell phone?
Yes
No
Do you have internet access?
Yes
No
Can you respond to text, emails and/or phone calls within a 10 minute time frame?
Yes
No
If no, please explain:
Do you have reliable transportation?
Yes
No
If no, please explain:
Do you have car insurance?
Yes
No
What is your availability?
Available 9AM-3PM
Available 3PM-7PM
Available Evenings
Available Weekends
I have an Open Schedule
Please provide a summary of your work experience for the past 5 years:
Please tell us why you want to work for Nit Picky:
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Thank you for contacting us. We will get back to you as soon as possible
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