Employment Application Form

Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookFacebookCraigslistCustomerOther
Others:
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Job Skills & Training
I have experience in:

Dog grooming experienceDog training experienceKennel experienceCustomer service experienceReceptionist experienceOffice Manager experienceJanitorial experience
I am:

Willing to work holidaysWilling to work weekendsWilling to work full timeWilling to work part timeWilling to attend training for additional certificationsInterested in the Reno locationInterested in the Sparks location
Describe your skills:*
Training or Certifications:
Prior experience with dogs:
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Information
Do you have transportation?

YesNo
What hours are you available?
When can you begin work?

MonthDayYear
Date
Have you ever been discharged or requested to resign from any position for misconduct or unsatisfactory service?

YesNo
If you answered yes, please explain.
Have you ever been convicted of a criminal offense?

YesNo
If you answered yes, please explain.
I certify that all information given in this job application is true and complete to the best of my knowledge. I understand that any statement that is false, fraudulent, or misleading may result in the rejection of my application, denial of employment, and dismissal from service if discovered after employment.
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