Employment Application

Name*

First NameLast Name

E-mail*

Address*

Street Address

Suite or Apt #

CityState / Province

Postal / Zip Code

Your Cell Phone*

Area CodePhone Number

Can we text or call this number?*

Text OKCall OkVoice Mail OK

Available to start

MonthDayYear

Desired Salary Range

Fromto

Do you have reliable transportation? *

YesNoNot Sure

Highschool Diploma or GED & Year of completion

What was the name of the last company that you worked for?

Business Name

Your Job Title

Last Supervisor or Manager Name

First & Lasts

Company's Phone Number

Area CodePhone Number

Start Date

MonthDayYear

Separation Date

MonthDayYear

Reason for leaving

May we contact this employer for a reference?

YESNO

Other company that you've worked for prior to the above listed business.

Business Name

Your Job Title

Your Supervisor or Manager Name at that company

First & Lasts

Company's Phone Number

Area CodePhone Number

Start Date

MonthDayYear

Separation Date

MonthDayYear

Wages

StartingEnding

May we contact this employer for a reference?

YESNO

Reason for leaving

Please list any days, dates, and times you are NOT available to work:

What do you want to be when you grow up?

If you could be ANYTHING?

What are your strengths?

What do you consider to be your greatest achievement?

What was your favorite job and why?

Who was your favorite manager and why?

Why do you want to work for Pets & Company?

Do you have any questions for us?

Do you have experience in any of the following categories?

I declare under the penalty of perjury that the information given by me on this application is true and correct. I understand any false statement may subject me to immediate dismissal at any time.

I authorize Pets & Company to investigate these facts and I authorize the release of information concerning employment, education, convictions, DMV record, and credit and I release Pets & Company, its official agents and employees from any liability arising from the release of such information.

Employment with Pets & Company may be terminated at-will, with or without cause, and with or without notice, at any time, either at the employee’s option or at the option of Pets & Company. No employee or representative of Pets & Company, other than its president, has the authority to enter any agreement of employment for any specified period of time to make any express or implied agreement contrary to the forgoing. Further, the president Pets & Company may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specific time unless the employee and the president both sign a written agreement that clearly and expressly specifies the intent to do so. This paragraph constitutes a final and fully binding integrated agreement with respect to the at-will nature of the employment relationship, and there are no oral or collateral agreements regarding this issue.

Signature

Date

MonthDayYear