Job Application - Formstack

City Dogs Daycare Employment Application
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State*
ZIP Code*
Social Security #
Cell Phone Number*
Email Address*
1. Emergency Contact, Name, Phone Number, Relationship*
What is your COVID-19 Vaccination Status?*

Fully Vaccinated (2 or More shots)Not VaccinatedMedically unable to get vaccinatedOther
Dog Handler (Playrooms)*

Playroom - Dog Handler, walking, customer serviceFront Desk - ReceptionistGroomer (experience with haircuts required)
Are you 18 or older?*

YesNo
High School: Did you graduate from high school?*

YesNoCurrently Enrolled
High School: If currently enrolled, what grade are you in?
High School: High School Name & City*
How many hours per week to work?*
College: Did you graduate from college?

YesNoCurrently Enrolled
College: If currently enrolled, what semester are you in?
College: College/Vocational School

Please Enter your Availability for our ***18th Street NW location*** ONLY CHECK IF YOU ARE AVAILABLE TO WORK AT THAT TIME.*

	Morning AND Afternoon Shift	Morning Shift ONLY	Afternoon Shift ONLY	Morning, Afternoon, and Overnight Shift	Overnight Shift ONLY
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please Enter your Availability for our ***H Street NE location*** ONLY CHECK IF YOU ARE AVAILABLE TO WORK AT THAT TIME.*

	Morning AND Afternoon Shift	Morning Shift ONLY	Afternoon Shift ONLY	Morning, Afternoon, and Overnight Shift	Overnight Shift ONLY
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Which MORNING shifts (7am - 1pm) are you available to work? **1832 18th St NW location***

MondaysTuesdaysWednesdaysThursdaysFridaysSaturays (8am to 1pm)Sundays (8am to 1pm)
Which MORNING shifts (7am - 2pm) are you available to work? **301 H Street NE location***

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays (8am to 2pm)Sundays (8am to 2pm)
Which AFTERNOON (1pm - 9pm) shifts are you available to work? **1832 18th St NW location***

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays (1pm to 7pm)Sundays (1pm to 8pm)
Which AFTERNOON shifts (2pm - 9pm) are you available to work? **301 H St NE location***

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays (2pm to 7pm)Sundays (2pm to 8pm)
Can you work overnight shift (8pm to 7am)*

YesNo
1. Previous job (Most Recent) Name of Business & Location*
1. Name of Supervisor*
Start Date*
Termination Date*
1. Job Title & Basic Responsibilities - Copy*
1. Reason for leaving job*

My decisionEmployer's decision
1. Explanation for leaving your previous job*
2. Previous job - Name of Business & Location*
2. Name of Supervisor*
Start Date*
Termination Date*
2. Job Title & Basic Responsibilities*
2. Reason for leaving job*

My decisionEmployer's decision
2. Explanation for leaving your previous job*
1. Personal Reference Name, Phone Number, relationship*
2. Personal Reference Name, Phone Number, relationship*
What breed is dog #1 above?*

CorgiBeagleBichon FriseYorkshire Terrier
Correct Answer: Beagle
What breed is dog #2 above?*

German ShepherdRottweilerPlott HoundGolden Retriever
Correct Answer: German Shepherd
What breed is dog #3 above?*

German ShepherdMalteseEnglish BulldogBoston Terrier
Correct Answer: Boston Terrier
What breed is dog #4 above?*

German ShepherdPit BullBoxerGreat Dane
Have you worked at a dog daycare, animal shelter, or as a dog walk or pet sitter?*

YesNo
Have you used Gingr or other daycare software before?*

YesNo
Tell us about your work experience with dogs. Which Daycare(s), shelters or dog walking businesses have you worked at? When did you work there? Why did you leave?*
Give 3 reasons or benefits why our customers may bring their dog to daycare (feel free to use Google)*
Tell us 3 observations that would tell you a dog may be sick*
Tell us why you think working at a dog daycare would be a good job for you*
Tell us about pets that you currently own or have owned in the past. Tell us what you did to care for the pets.*
WORK ATTENDANCE - I will be on time and never miss a shift without coverage*

Yes, I will be on time and never miss a shift without finding coverage from a co-workerI may occasionally have a hard time getting to work on time or being fully responsible for all my shifts
City Dogs is a cell phone-free work place. Employees are expected to put their cell phones aside while working and only use during breaks*

I am able to work without using or looking my cell phoneI will not be able to put my cell phone away while working
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.**

YesNo
Please use this space to tell us anything else about yourself that you would like for us to know.
If you have a separate resume, upload it here (optional)

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If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as the may exist from time to time, or other company practices, shall serve to creat an actual or implied contract of employment, or to confer any right to remain an employee of City Dogs, or otherwise to change in any respect the employment-at-will relationship between it and and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Owner or General Manager of the company. City Dogs may end the employment relationship at any time for performance reasons. The undersigned agrees to give 2 weeks notice before the last day of employment. If employed, I understand that the company may unilaterally change or revise their benefits, policies, and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the company from any liability as a result of such contract.

I also understand that 1. The company has a drug and alcohol policy that may provide for pre-employment testing as well as testing after employment; 2. Consent to and compliance with such policy is a condition of my employment; and 3. Continued employment is based on the successful passing of testing under such policy. I duerhwe understand that continued employment may be based on the successful passing of job related physical examinations.

I understand that, in connection with the routine processing of your employment application, City Dogs may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, City Dogs will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
Signature - I agree with the terms described above and that all information presented is accurate.

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City Dogs Daycare Employment Application