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Applicant Information


Full Name

Address

City

State

Zip


Home phone

Cell phone


Email



Date available to start


Salary requirement


Type of employment desired
 Full Time Part Time Temporary Seasonal


Position applied for



Are you a citizen of the U.S.?  Yes No

If not, are you legally allowed to work in the U.S.?  Yes No


If you are under 18 - we require a work permit, can you furnish one?  Yes No

If no, please explain


Have you ever pled "guilty", "No contest", or been convicted of a crime?  Yes No

If yes, please provide dates and details




Education


High School

Address

City

State

Zip


Did you graduate?  Yes No




College

Address

City

State

Zip


Degree

Did you graduate?  Yes No




Other education




Employment History


Company

Dates of Employment

to


Address

City

State

Zip


Phone

Supervisor

Position held


Starting salary

Ending salary


Responsibilities

Reason for leaving

May we contact this employer for a reference?  Yes No




Company

Dates of Employment

to


Address

City

State

Zip


Phone

Supervisor

Position held


Starting salary

Ending salary


Responsibilities

Reason for leaving

May we contact this employer for a reference?  Yes No




Company

Dates of Employment

to


Address

City

State

Zip


Phone

Supervisor

Position held


Starting salary

Ending salary


Responsibilities

Reason for leaving

May we contact this employer for a reference?  Yes No




Job Related Requirements & Information


Are you able to lift 50 lbs?  Yes No


Do you have reliable transportation to get to work?  Yes No


Are you able to stand on your feet, bend and lift for extended periods of time?  Yes No


Are you available to work holidays and weekends?  Yes No


Please describe your experience with dogs, dog behavior, pack mentality and manners




References


Name

Address

City

State

Zip


Phone




Name

Address

City

State

Zip


Phone




Name

Address

City

State

Zip


Phone




By submitting this form, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby, release employers, schools, or persons from all liability when responding to inquiries in connection with my application.

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