Employment Application
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Employment Application
Employment Application
Employment Application
Please note: You must provide correct names and phone numbers in the work history area. Applications without information are not considered. References are checked before interviews are granted. If your references are validated and we have a position open, we will call you for an interview. If we have no positions open, we will file your application for a later time. Thank you.
Personal Information
Name
*
Email Address
*
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
County of Residence
*
Phone Number
*
Personal to notify in case of emergency
*
Emergency Contact Phone Number
*
Are you employed now?
*
Yes
No
Can we call your present employer?
*
Yes
No
Application Information
Application is for:
*
Full-Time
Part-Time
What days and hours are you available?
*
Position Applying For
Location Interested In
Date you can start
*
Minimum salary desired
Are you 18 years of age or older?
*
Yes
No
If not, please give age.
Are you a citizen of the US?
*
Yes
No
If not, do you have a legal right to work in the US?
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain.
Education
High School
*
Status
*
Graduated
Attending
GED
College / Trade School
Status
Graduated
Attending
Work History
1. Company Name
Job Title
Supervisor
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number
Dates Employed
Put start and end dates
Earnings at hire
Earnings at leaving
Reason For Leaving
Description of Duties
2. Company Name
Job Title
Supervisor
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number
Dates Employed
Put start and end dates
Earnings at Hire
Earnings at leaving
Reason for leaving
Description of duties
3. Company Name
Job Title
Supervisor
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number
Dates Employed
Put start and end dates
Earnings at Leaving
Earnings at Hire
Reason for leaving
Description of duties
I authorize City Pet Companies to perform a background check which may include social security number verification, resume verification, a credit check, and a criminal record/public record check. I authorize City Pet Companies to perform random drug testing.
*
I Agree
Affidavit
*
I certify that the answers given by me to the foregoing questions and statements are true & correct without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or persons named above to give any information regarding my employment, character & qualifications. I hereby release said companies, schools & persons from all liability for any damage for issuing this information. I certify that all statements & answers to questions about my health are true & were made by me without any reservations. I understand that there is no express or implied contract of employment & that if employed I have been hired at the will of the employer & that my employment may be terminated at will, at any time, & with or without cause the employers only obligation being to pay salary or wages due & owing at the time of termination. Finally, I understand that all company property must be returned & my indebtedness to the company must be paid before my termination. I authorize the company to deduct the final paycheck(s) all monies due & owing to the company.
I Agree
An Equal Opportunity Employer
Male/female. We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status, or handicap. It is our intention that all qualified applicants be given equal opportunity & that selection decisions are based on job-related factors.
