General Employment Application

General Application

Overnight Kennel Attendant

Applicant Information

Name:

First

Last:

Last

Date of Birth:

Address: *

Street Address

Address (Cont) *

City, State ZIP Code

Phone: *

Email: *

Date Available: *

Full Time or Part Time: *

Hours Available: *

Are you willing to work evenings? *

Are you willing to work weekends? *

Are you willing to work holidays? *

If no to any of these, explain:

Personal and Background Information

Why do you want to work at Paws-a-Palooza? *

Do you own any pets? *

Yes

If yes, what kind? *

What, if any, experience do you have with animals other than your own pets? *

Have you ever done any volunteer work? *

Yes

If yes, what kind? *

Please give comments on what you believe are your key strengths and main weaknesses.

Strengths: *

Weaknesses: *

References

Please list three professional or character references

Full Name: *

Relationship: *

Company:

Phone: *

Address *

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Full Name: *

Relationship: *

Company:

Phone: *

Address *

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Full Name: *

Relationship: *

Company:

Phone: *

Address *

Previous Employment

Company: *

Phone: *

Address: *

Supervisor: *

Job Title: *

Starting Salary: *

Ending Salary: *

Responsibilities: *

Start Date: *

End Date: *

Reason for leaving: *

May we contact your previous supervisor for a reference? *

Yes

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Company: *

Phone: *

Address: *

Supervisor: *

Job Title: *

Starting Salary: *

Ending Salary: *

Responsibilities: *

Start Date: *

End Date: *

Reason for leaving: *

May we contact your previous supervisor for a reference? *

Yes

Disclaimer and Signature

I verify that the answers I have given are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my termination.

Electronic Signature: *

Date: *