Natural Pet Center Employment Application

Address

Home Number

- Area Code Phone Number
Cell Number

- Area Code Phone Number
E-mail
How were you referred to Natural Pet Center?
Position Desired
Salary Desired
WORK ELIGIBILITY
Are you eligible to work in the United States?

Yes No
Are you at least 18 years of age or older?

Yes No
(If under 18, hire is subject to verification of minimum legal age)
Have you ever been convicted of or pleaded no contest to a felony within the last five years?

Yes No
If yes, please explain:
Have you been convicted of, pleaded guilty to, or pleaded no contest to an act of dishonesty or breach of trust such as a misdemeanor petty theft, burglary, fraud, writing bad checks, and other related crimes within the last five years?

Yes No
If yes, please explain:

JOB INTEREST
Have you ever applied to Natural Pet Center before?

Yes No
If yes, please explain:
How did you hear about us?
Have we interviewed you?

Yes No
Do you have any friends, relatives or acquaintances working for Natural Pet Center?

Yes No
If yes, who?

First Name Last Name
Relationship
Total Hours Desired
Minimum Hours
Maximum Hours
Are there holidays you are NOT able to work?
Available Start Date (month and/or day)
AVAILABILITY

Please list the days of the week and times that you are available

DESIRED SCHEDULE

Your ideal schedule, please note that this is not a guaranteed schedule if hired

City/State

City/State

PERSONAL INFORMATION
Why do you want to be a part of the team at Natural Pet Center?
What skills/talents do you possess that would be beneficial to the team?
Tell us about your pets, what you do together, what do they like, etc.
What are your future goals and how would working at Natural Pet Center help you to achieve them?

EMPLOYMENT HISTORY

Please describe past and present employment positions, start with present or most recent employer.
Name of Employer
City
State
Supervisor name

First Name Last Name
Employer phone

- Area Code Phone Number
Start Date

- Month - Day Year
Date Finished

- Month - Day Year
Job Title
Duties performed:
Reason for leaving:
May we contact this employer?

Yes No
In not, why not?
Name of Employer
City
State
Supervisor name

First Name Last Name
Employer phone

- Area Code Phone Number
Job Title
Start Date

- Month - Day Year
Date Finished

- Month - Day Year
Describe your duties:
Reason for leaving
May we contact this employer?

Yes No
In not, why not?
Name of Employer
City
State
Supervisor name

First Name Last Name
Employer phone

- Area Code Phone Number
Job Title
Start Date

- Month - Day Year
Date
Date Finished

- Month - Day Year
Date
Describe your duties:
Reason for leaving
May we contact this employer?

Yes No
In not, why not?
RESUME

Please read and accept each paragraph below.
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the anwsers given by me ae true and correct to the best of my knowledge and ability. I understand that any omission of material fact on the application or on any document used to secure can be grounds for rejection of application or if I am employed by Natural Pet Center, terms for my immediate expulsion from the company.
Choose ONE: *

I ACCEPT I DO NOT accept
I understand that if I am employed, my employment is not definite and can be terminated or I can terminate my employment at any time with or without prior notice.
Choose ONE: *

I ACCEPT I DO NOT accept
I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references i have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release Natural Pet Center, my former employers and all other persons, corporations, partnerships, and assocation from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
Choose ONE: *

I ACCEPT I DO NOT accept
Signature
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APPLICATION FOR EMPLOYMENT