Employee Application Applicant Information Full Name (First, Last, M.I.) Address Apartment/Unit # City State ZIP Code Phone Email Date Available Desired Salary Position Applied for Are you a citizen of the United States? YESNO If no, are you authorized to work in the U.S.? YESNO Have you ever worked for this company? YESNO If yes, when? Have you ever been convicted of a felony? YESNO If yes, explain: Education High School Graduation Year College Graduation Year References Reference 1 - Full Name Relationship Company Phone Address Reference 2 - Full Name Relationship Company Phone Address Reference 3 - Full Name Relationship Company Phone Address Previous Employment Company Phone Address Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? YESNO Second Previous Employment Company Phone Address Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your second previous supervisor for a reference? YESNO Military Service Military Service Branch From To Rank at Discharge Type of Discharge If other than honorable, explain Check your availability Check your availability Select the days and time slots you are available to work, you can select more than one time slot on any of the (ie: Monday 7-12 and 12-6 can be selected) Availability Select the days and time slots you are available to work: Monday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Tuesday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Wednesday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Thursday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Friday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Saturday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Sunday Not Available7:00 AM - 12:00 PM12:00 PM - 6:00 PMUntil 8:30 PM Are you available to work holidays and weekends as needed? YESNO How did you hear about us? Do you have special training or education that would apply to working with animals? Do you own any pets? Give a description. What type of discipline do you consider appropriate for a dog? Have you ever cared for a dog that was not your own? YESNO Have you ever had a dog that required medical attention or needed treatment for an injury? Please explain. Have you ever been in a situation with an aggressive dog? A fearful dog? What happened? Do you have any physical limitations that might affect your ability to handle dogs at Paws 'N' Play? Do you have any questions for us? Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
