PAMPERED PETS BED & BISCUIT

APPLICATION FOR EMPLOYMENT

Location applying for   __________________                            Date ____________  

PERSONAL INFORMATION                                                                                             

                                                                                                SOCIAL SECURITY

NAME                                                                                                             NUMBER                                           

            LAST                                     FIRST                                     MIDDLE

 

PRESENT ADDRESS                                                                                                                                    

                                                            STREET                 CITY                       STATE                   ZIP

 

PERMANENT ADDRESS                                                                                                                                            

                                                            STREET                 CITY                       STATE                   ZIP

 

PHONE NO.                                                  

 

ARE YOU 18 YEARS OR OLDER?  Yes o   No o      IF NO, DATE OF BIRTH__________________________

DO YOU (OR YOUR FAMILY) OWN ANY PETS? YES o  NO o  HOW MANY DOGS ____  CATS _____

                                                                                                                                                          OTHER _____

EMPLOYMENT DESIRED

 

POSITION YOU ARE APPLYING FOR__________________       DATE AVAILABLE__________________   

FULL TIME  o            PART TIME    o          TEMPORARY o                                                                   

 

NUMER OF HOURS AVAILABLE PER WEEK:                                                                                                     

 

HAVE YOUR WORKED AT THIS COMPANY BEFORE?             Yes o               No o

IF YES WHEN?   _________________________________________________________ _____

DO YOU HAVE ANY FRIENDS WORKING HERE NOW? ________ BEFORE __________

DO YOU HAVE ANY RELATIVES WORKING HERE NOW? _____ BEFORE___________

NAME ______________________________________________________________________

 

EDUCATIONAL HISTORY

SCHOOL	YEARS COMPLETED	NAME AND ADDRESS	MAJOR COURSE OF STUDY	DID YOU GRADUATE?
HIGH SCHOOL				YES ___  NO ___
COLLEGE OR UNIVERSITY				YES ___  NO ___
TRADE SCHOOL, Etc.				YES ___  NO ___

 

DATE EMPLOYED	NAME AND ADDRESS	*SALARY	POSITION	REASON FOR LEAVING

*APPLICANT NEED NOT ANSWER.  FAILURE TO DO SO WILL HAVE NO BEARING ON CONSIDERATION FOR EMPLOYMENT.

 

LIST THE COMPUTER SOFTWARE PACKAGES AND OFFICE EQUIPMENT YOU ARE PROFICIENT WITH. __________________________________________________________

REFERENCES

GIVE THE NAMES OF TWO PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

NAME	ADDRESS	BUSINESS	YEARS ACQUAINTED

We are an equal opportunity employment company.  We are dedicated to a policy of non-discriminatory employment in accordance with federal and state laws which prohibit discrimination on the basis of race, religion, creed, national origin, color, ancestry, age, sex, marital status, disability, height, weight, citizenship or veteran status. 

I understand that if I am selected as a final candidate for employment, I may be required by Pampered Pets Bed & Biscuit, LLC, to submit to a drug test and criminal history check.  My refusal to consent to these tests or a positive test result will result in refusal of further consideration for employment.

I understand that to be employed I must be lawfully authorized to work in the United States, and I must show the employer documents that will prove this.  I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand that any false or misleading statement made by me in connection with this application or the failure to disclose any material information will be grounds for immediate dismissal.  I understand that if hired I will have a probationary period during which time I may be terminated at the discretion of the company.  Thereafter, the terms of my continued employment will be pursuant to the written employment polices that the company may from time to time determine.

SIGNATURE OF APPLICANT____________________________ DATE:____/___/_____

____________________________________________________________________________________________________________________________________________________________________________________

DO NOT WRITE BELOW THIS LINE

INTERVIEWED BY                                                                                                    DATE                                     

__________________________________________________________________________________________

HIRED:  YES o  NO o                        POSITION                                                                                                     

SALARY/WAGE                                                                    DATE REPORTING TO WORK                               

APPROVED 1.                                                            2.                                                                                            

 

__________________________________________________________________________________________