CCK Job Application
Name
*
First Name
Last Name
Preferred Name or Nick Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
How did you hear about the job position?
*
Classified Ad
Craigslist
Friend
Other
Alternate Phone Number
-
Area Code
Phone Number
E-mail
CCK Employment Information
Please select the locations you are able to work.
*
Jarrettsville
Shrewsbury
Have you ever been employed by our company before?
*
Yes
No
Why was your employment with our company terminated?
When were you last employed with us?
Which location were you last employed?
Please Select
Jarrettsville
Delta
Shrewsbury
Do you have previous experience working with animals?
*
Yes
No
Please explain in further detail
Select the shift(s) you are interested in.
*
Permanent Full Time
Permanent Part Time
Seasonal Full Time
Seasonal Part Time
Position Desired
*
Pet Care Technician
Front Reception
Pet Shuttle Driver
Other
Can you work weekdays?
*
Yes
No
Can you work weekends?
*
Yes
No
Can you work evenings?
*
Yes
No
Can you work nights?
*
Yes
No
Can you work holidays?
*
Yes
No
Do you have your own transportation?
*
Yes
No
Do you have a valid driver license?
*
Yes
No
Driving Status
Good Standing
Provisional (restricted)
Other
When are you able to start work?
*
-
Month
-
Day
Year
Date Picker Icon
Why do you want to work at our company?
*
What is your wage expectation or requirement per hour?
*
Country Comfort Kennels is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age, or military or veteran status in accordance with federal law. In addition, Country Comfort Kennels complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. Country Comfort Kennels also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Country Comfort Kennels will verify the status of every individual offered employment with the company. In this connection, all offers of employment are subject to verification of the applicant's identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.
Are you authorized to work in the United States?
*
Yes
No
Are you under the age of 18?
*
Yes
No
Can you furnish a work permit?
Yes
No
Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accomodation?
*
Yes
No
If hired, do you have any previous commitments that will cause you to miss work in the next 3 months?
*
Yes
No
Please explain with further detail.
Previous Work Experience
(Please start with your most recent job first.)
Do you have a previous work history?
*
Yes
No
Job 1 Start Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 1 End Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 1 Company Name
Job 1 Type of Business
Job 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Job 1 Company Phone Number
-
Area Code
Phone Number
Job 1 Final Position and/or Job Title Held
Job 1 Briefly describe your MAJOR DUTIES.
Job 1 Starting Pay
Job 1 Final Pay
Job 1 Supervisor's Name
First Name
Last Name
Job 1 Supervisor's Phone Number
-
Area Code
Phone Number
Job 1 Termination Type
Voluntary
Involuntary
Job 1 Reason for Termination
Job 2 Start Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 2 End Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 2 Company Name
Job 2 Type of Business
Job 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job 2 Company Phone Number
-
Area Code
Phone Number
Job 2 Final Position and/or Job Title Held
Job 2 Briefly describe your MAJOR DUTIES.
Job 2 Starting Pay
Job 2 Final Pay
Job 2 Supervisor's Name
First Name
Last Name
Job 2 Supervisor's Phone Number
-
Area Code
Phone Number
Job 2 Termination Type
Voluntary
Involuntary
Job 2 Reason for Termination
Job 3 Start Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 3 End Date of Employement
-
Month
-
Day
Year
Date Picker Icon
Job 3 Company Name
Job 3 Type of Business
Job 3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job 3 Company Phone Number
-
Area Code
Phone Number
Job 3 Final Position and/or Job Title Held
Job 3 Briefly describe your MAJOR DUTIES.
Job 3 Starting Pay
Job 3 Final Pay
Job 3 Supervisor's Name
First Name
Last Name
Job 3 Supervisor's Phone Number
-
Area Code
Phone Number
Job 3 Termination Type
Voluntary
Involuntary
Job 3 Reason for Termination
Unemployment
Please account for all periods of time, three months or more, between positions held or after school.
Unemployment Period 1 Start
-
Month
-
Day
Year
Date Picker Icon
Unemployment Period 1 End
-
Month
-
Day
Year
Date Picker Icon
How did you spend your time during unemployment period 1?
Unemployment Period 2 Start
-
Month
-
Day
Year
Date Picker Icon
Unemployment Period 2 End
-
Month
-
Day
Year
Date Picker Icon
How did you spend your time during unemployment period 2?
Unemployment Period 3 Start
-
Month
-
Day
Year
Date Picker Icon
Unemployment Period 3 End
-
Month
-
Day
Year
Date Picker Icon
How did you spend your time during unemployment period 3?
Education
High School Name
*
High School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Did you graduate from High School?
*
Yes
No
Type of Diploma
Did you attend College?
Yes
No
College Name
College Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Major Subject Studied
Did you graduate from College?
Yes
No
Type of Degree
Other Education School Name
Type of School
Major Subject Studied
Type of Degree or Diploma
Professional Designations and Licenses
Do you have any Professional Designations?
*
Yes
No
Designation 1
Organization Granting Designation 1
Date Designation 1 was Completed
-
Month
-
Day
Year
Date Picker Icon
Designation 2
Organization Granting Designation 2
Date Designation 2 was Completed
-
Month
-
Day
Year
Date Picker Icon
Designation 3
Organization Granting Designation 3
Date Designation 3 was Completed
-
Month
-
Day
Year
Date Picker Icon
Do you have any Professional Licenses?
*
Yes
No
License 1 Type
State Granting License 1
License 1 Number
License 2 Type
State Granting License 2
License 2 Number
License 3 Type
State Granting License 3
License 3 Number
Personal References
(Please list three references)
Reference 1
*
First Name
Last Name
Reference 1 Phone Number
*
-
Area Code
Phone Number
Reference 1's Relationship to Applicant
*
Reference 2
*
First Name
Last Name
Reference 2 Phone Number
*
-
Area Code
Phone Number
Reference 2's Relationship to Applicant
*
Reference 3
*
First Name
Last Name
Reference 3 Phone Number
*
-
Area Code
Phone Number
Reference 3's Relationship to Applicant
*
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY. IN THE LAST SEVEN (7) YEARS, HAVE YOU BEEN CONVICTED OF OR HAVE YOU PLEADED GUILTY TO ANY FELONY OR MISDEMEANOR**? (Please exclude minor traffic offenses and convictions which have been sealed, impounded, erased, expunged, annulled, or nolled.)
*
Yes
No
Please Describe in Further Detail
** PLEASE NOTE: OTHER FACTORS WILL BE TAKEN INTO ACCOUNT SUCH AS THE NATURE OF THE OFFENSE, THE TIME THAT HAS BEEN SINCE THE CONVICTION AND THE TYPE OF JOB BEING SOUGHT. FURTHER, THIS INFORMATION WILL BE USED ONLY FOR JOB-RELATED PURPOSES AND ONLY TO THE EXTENT PERMITTED BY APPLICABLE LAW.
PLEASE READ CAREFULLY BEFORE SUBMITTING APPLICATION
I am submitting the following form to the Company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate any positions are open, nor does it obligate the Company to further process my application. My submission of this form to Country Comfort Kennels attests to the fact that the information I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that my misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company's employ. I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the company in the position I am seeking.
I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be "at will" and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company's part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees.
REFERENCES: Upon submission of this form to the Company, I hereby authorize the Company and its agents to make such investigations and inquires into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the Company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications.
TEMPORARY/CONTRACT EMPLOYMENT: If employed as a temporary or contract employee, I understand that I may be an employee of the Company and not of any client. If employed, I further understand that employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the Company and each client to whom I may be assigned which will require a client to pay a fee to the Company. In the event that I accept direct employment with the client, I agree to notify the Company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended.
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