Pet Care Application Form

What position are you most interested in, and please explain exactly how you see yourself helping us to accomplish our Strategic Vision:

Why do you think taking care of other people's "furry family" members, would be a job at which you are great?

Full Name

First NameLast Name

Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How long at present address?

E-mail

Phone Number

Area CodePhone Number

Are you employed now?

May we inquire of your present employer?

Are you legally authorized to work in the U.S.?

Proof of eligibility will be required if hired.

Have you ever applied to this company before?

When?

Have you been convicted of a crime within the last 7 years which is substantially related to the functions or qualifications of the job for which you are applying?

A conviction record will not necessarily disqualify you from employment.

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.

Are you allergic to cats or dogs?

Wage Desired:

Can you work any shift?

Please explain:

Can you work weekends?

How many hours per week can you work and, specifically, what days and times are you available to work?

Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accomodation?

When can you start?

MonthDayYear

Do you have a driver's license?

Do you have a dependable means of transportation to work?

High School

Name and Location

Years Attended

Did you graduate?

College

Name and Location

Years Attended

Did you graduate?

Subjects Studied

Trade, Business, or Correspondence School

Name and Location

Years Attended

Did you graduate?

Subjects Studied

Full Name:

Relationship

Phone Number

Area CodePhone Number

Full Name:

Relationship

Phone Number

Area CodePhone Number

Special Training or Skills

Military Service? Rank?

Words typed per minute?

Name & Address

Name and Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Started

MonthDayYear

Ended

MonthDayYear

Salary:

Position:

Responsibilities:

Reason for Leaving:

Name & Address

Name and Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Started

MonthDayYear

Ended

MonthDayYear

Salary:

Position:

Responsibilities:

Reason for Leaving:

Name & Address

Name and Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Started

MonthDayYear

Ended

MonthDayYear

Salary:

Position:

Responsibilities:

Reason for Leaving:

What are my goals for this position:

Do you believe the following statement is true or not? Please explain: The customer is always right.

Please be very specific.

If you had to choose between offending an employee or a customer, which would you go with and why?

Please be very specific.

In your own words, what is the mark of an excellent worker?

Please be very specific.

What do you think is the best way to be a great team player?

Please be very specific.

Which of the following courses, if any, have you completed?

Please provides details of above training:

BrownDog Lodge is an equal opportunity employer and does not discriminate against applicants and employees on the basis of race, color, religion, national origin, sex, age, handicap/disability, veteran's status or any other protected status. BrownDog Lodge also provides reasonable accommodation to the known disabilities of applicants in accordance with the requirements of the Americans with Disabilities Act, as amended.

APPLICANT CERTIFICATION

I understand that should I be employed at BrownDog Lodge, my employment will be at-will, meaning that I or BrownDog Lodge may terminate my employment at any time, with or without cause or reason, consistent with applicable State or Federal law. No promise or guarantee exists that my employment will continue for any specific period of time.

Through my electronic signature I certify that all statements made in this application are true, complete and correct to the best of my knowledge and belief, and that any false statements or major omissions shall be considered sufficient cause for employment disqualification or dismissal. I understand that, if hired, this Application will be maintained in my permanent record of employment.

I acknowledge that as a condition of my employment by the Company, after an offer of employment is made, I will be required to successfully complete a drug and background check.

I agree with the above statement:

Signature

First NameLast Name

Apply for Pet Care Position

Please Describe in Detail How You See Yourself Fitting into our Strategic Vision?

Education History

Professional References

General Information

Former Employers (most recent first)

Work Philosophy

Pet Care Training

Application Form Waiver - PLEASE READ CAREFULLY