The Dog Patch Employment Application

Employment Application Form:
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Are You a U.S. Citizen?

YesNo
Employment Desired:
Position Applying For
Date You Can Start

MonthDayYear
Salary Desired*
Education:
High School*
Name of High School Attended
Number of Years Attended
Graduated?*

Yes
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Graduate School
Name of Graduate School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Skills/Qualifications:
Skills - List your dog handling skills BESIDES owning a dog:*
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:
Current Employer*
Name of Current Employer or NONE if not Employed
Position*
Salary
Reason for Leaving?*
Start Date*

MonthDayYear
May We Contact?*

YesNo
Previous Employment:
Previous Employer*
Name of Previous Employer
Position*
Salary
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Additional Information
Why do you want to work at The Dog Patch?
If you have dogs:
How many do you have?
Can you groom your dog? (bathe, nails, ears, etc.)

YesNo
Are your dogs neutered/spayed?

YesNo
Up to date on shots?

YesNo
Ever given meds?

YesNo
Have you ever been bitten or jumped on by a dog?

YesNo
What do you expect a typical shift will be like at The Dog Patch?
Do you like to clean?

YesNo
Can you clean vomit, poop, diarrhea, or urine?

YesNo
How do you feel about dog slobber?
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

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Terms and Conditions:
This company has the right to employ persons who will provide high standards of service, I understand and agree that:
- An offer, if any, of employment is contingent upon satisfactorily completing any reference checks, background checks or drug/alcohol screening required by the company and verification of the information in this application.
- An offer, if any, of employment is also contingent upon my ability to comply with the regulation issued by the United States Citizenship and Immigration Services and my ability to demonstrate authorization to work in the United States.
- Filing this application is not an offer of employment and in no way assumes me a position with this company; and if I am hired, makes no guarantee regarding my future employment with the company. ANY EMPLOYMENT OFFERED BY THE COPANY IS ONLY ON AN AT-WILL BASIS, which means that either the company or I can terminate my employment at any time with or without cause or notice. I understand that no company representative, except the President or his designee so authorized in writing, has the authority to enter into any employment agreement with the contrary to the foregoing, and even then said employment agreement must be in writing and signed by the President or his designee so authorized in writing.
If requested and after I receive, a conditional offer of employment, I agree:
- To authorize a background check o the extent allowed by state and federal law
- To submit to drug and alcohol testing within the limits prescribed under state and federal law or at anytime during employment
By signing or submitting this application, I certify that all of the information is correct and complete. I understand that false, omitted or misleading information given in this application or in connection with any subsequent background investigation, will be grounds for rejection or termination of employment. I further certify that by signing or submitting this application, I have read and understand the above statements and provisions and agree to all statements and provisions.

**Please note: if you do not complete the application, you will not be considered for the position you are applying.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

Clear
Send Application:
By clicking the submit button below, I cerify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Should be Empty:

Employment Application Form:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Additional Information

Cover Letter & Resume (Optional):

Terms and Conditions:

Send Application: