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GENERAL INFORMATION

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Phone Number (required)

Email (required)

Date of Birth (mm/dd/yy) (required)

Are you eligible to work in the United States? (required)
YesNo

Have you ever been convicted of a felony? (required)
YesNo

If yes, please explain.

Do you have your own, reliable transportation? (required)
YesNo

Are you insured? (required)
YesNo

How much money would you like to earn per week?

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PREVIOUS EMPLOYMENT (list most recent first)

Employer 1 (Company)

Supervisor’s Name

Phone Number

Position

Responsibilities

Start Date (mm/yy)

End Date (mm/yy)

Reason for Leaving

May we contact this employer?
YesNo

Starting Salary

Ending Salary

Check here to add another employer.

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EDUCATION

Please list any relevant education and special skills, along with any degrees you have received.

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AVAILABILITY

Which days are you available to work? (check all that apply)
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Please list the times that you are available. (check all that apply)
MorningsMid-DaysEvenings

Are you available to work holidays?
YesNo

If so, which ones? (check all that apply)
New Year's DayMemorial DayIndependence DayLabor DayThanksgivingChristmas EveChristmas

Are you interested in long-term or short-term employment?
Long-TermShort-Term

What time period can you commit to (for example: 6 months, 1 year, etc)

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EXPERIENCE

What has been your previous experience with pets, either personally and/or professionally?

Why do you think you’d make a good candidate for employment?

Are there any job functions you feel you may not be able to perform? If yes, please clarify.

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ADDITIONAL COMMENTS

Please provide any additional comments regarding your application here.

I verify that the information provided on this application is
accurate and true to the best of my knowledge.