Kennel Assistant Job Application

KSDS KENNEL ASSISTANT

JOB APPLICATION
Legal Name:*

First NameLast Name
Personal Information
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail Address:*
Phone Number:*

Area CodePhone Number
How did you hear about us?*

Walk-InEmployee ReferralNewspaper AdSocial MediaKSDS WebsiteOther (please specify)
Others:
Name of Referring Employee
Upload Resume:*

Upload a File

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Experience
Please list any skills, training, experiences and qualifications relevant to this position.
*ADI Certifications or other certifications should be noted here.
References

Please list three (3) references that are familiar with your work life & are not related to you.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Relationship to you*
Years Known:*
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Relationship to you*
Years Known:*
Reference 3
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Relationship to you*
Years Known:*
Application Questions
Are you a U.S. Citizen?*

YesNo
Do you possess an alien registration card?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Please explain.
Do you have a valid driver's license?*

YesNo
State Issued & No. *
Have you been a member of the U.S. Armed Forces?*

YesNo
Were you honorable discharged?*

YesNo
Date available for work *

MonthDayYear
Date
I acknowledge this position is being hired on a rolling basis, and compensation is based on experience and qualifications.*

Acknowledgement of statement
I understand that Washington is a small, rural community, but I am willing to relocate if hired.*

Acknowledgement of statement
I certify that answers given herein are true and complete to the best of my knowledge. I understand that false or misleading information given in this application or my interview may result in my application being withdrawn from further consideration, or, if hired, my dismissal.

I authorize KSDS Assistance Dogs, Inc. to make such investigations and/or inquiries of my personal employment and/or other relative matters including, but not limited to a drug test and a background check. I hereby release employers, schools, and/or other persons from all liability in responding to inquiries in connection with this application.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: