Application for Employment

Name

First Name & M.I.Last Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Date Available for Work:

Date

Date Of Birth

SSN

Desired Salary per hour:

Position Applied For:

Type of Employment Desired:

Are you a citizen of the United States?

If no, are you authorized to work in the US?

Have you ever worked for this company?

If yes, when?

Have you ever worked with animals?

Do you have reliable transportation to work each day?

Have you ever been convicted of a felony?

If yes, explain:

Where did you go to High School? Please include the City/State

From: To:

Did you graduate?

If you attended more than one, please specify here:

From: To:

Did you graduate?

Are you presently enrolled in school?

If yes, please specify:

Expected Degree/Graduation Date:

Availability For Work:

Hours Offered

If those hours do not work, please specify what you are needing:

Total hours per week you expect to be available to work:

Do you have any special requests or needs for your work schedule? (Be specific)

Are you willing/able to work your fair share of weekends and holidays?

If no, please explain:

1st Personal Reference

First NameLast Name

Relationship:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

2nd Personal Reference

First NameLast Name

Relationship:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

1st Professional Reference

First NameLast Name

Company:

Relationship

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

2nd Professional Reference

First NameLast Name

Company:

Relationship:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Previous Employment:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Reason for Leaving:

From: To:

May we contact your previous supervisor for a reference?

Previous Employment:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Reason for Leaving:

From: To:

May we contact your previous supervisor?

Other Skills & Qualifications:

I certify that all information I have provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional),employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations from furnishing such information about me. I understand that the employer does not lawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by Founder & CEO (Robin Morrison) of Pawsitively Posh Pet Resort & Spa.