satchels_ Employment18

Satchel's Last Resort
Animal Technician Application
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail*
Highest Level of Education*

Have Not Completed High SchoolHigh School GraduateSome CollegeTwo-year DegreeFour Year DegreeGraduate Degree
Past Employment

Please list your employers starting with the most recent and working backward. If this is your first job, please say so.
Employment History*

This is my first job.I will complete the information below.
1. Company Name
Phone Number

Area CodePhone Number
Immediate Supervisor.
Dates Worked for this company.
Salary/Wages
May we contact them?

YesNo
Please describe your job duties.
2. Company Name
Phone Number

Area CodePhone Number
Immediate Supervisor
Dates Worked for this company.
Salary/Wages
May we contact them?

YesNo
Please describe your job duties.
3. Company Name
Phone Number

Area CodePhone Number
Immediate Supervisor
Dates Worked for this company.
Salary/Wages
May we contact them?

YesNo
Please describe your job duties.
Have you ever been convicted of a felony?*

YesNo
Please describe.
Salary desired
Days/Hours Available*
Special Training Concerning Animals?*
Why Would This Job Be Good For You?*
Do you have dogs or cats? If so, how do you discipline them? Tell us about your pets.*
Have you ever cared for a dog or cat that was not your own? Please describe…*
Have you ever dealt with a dog or cat with a medical emergency or injury? Please describe…*
Have you ever been in a situation with an aggressive or fearful dog? Please describe…*
Do you have any physical limitations that might limit your physical contact with the dogs at Satchel's Last Resort? Are your fearful of dogs?*
Anything else we need to know?*
Signature*
Satchel's Last Resort is an Equal Opportunity Employer. It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classification.
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