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CA Employment Application1

Baby shower

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40 views4 pages

CA Employment Application1

Baby shower

Uploaded by

cmqfjn4jzf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Country Acres Pet Resort

739 Weidman Road


Manchester, MO 63011
636-227-1919 – office
636-394-6877 – fax
[email protected]
Employment Application
An Equal Opportunity Employer

Date: ________________

Name ___________________________________________________________
(Last) (First) (Middle)

Address _________________________________________________________
(Street) (City) (State) (Zip)
Home Phone ______________ Cell Phone ____________________________

E-mail ____________________ Social Security Number __________________

Emergency Contact & Relationship ____________________ Phone __________

Have you ever been convicted of a misdemeanor or felony? ______________


If yes, please explain: ______________________________________________

Can you, after employment, provide verification of your legal right to work in the
United States? ________
Are you 16 years of age or older? ___________
Type of Position Applying for: ________________________________________

Availability: (check all that apply) Full-Time, 33-45 hours per week _____
Part-Time,10-32 hours per week _____
After school or after work _____
Nights _____
Weekends _____
Salary or Rate of Pay Desired? ___________________________
Do you have a reliable means of transportation to and from work? ____________
Were you referred by a current employee? ________
If yes, who? ________________________________
If no, how were you referred to this company? ___________________________
Have you ever worked for this Company? ________ If yes, when? __________

Why are you interested in working with us? _____________________________


________________________________________________________________

Describe any previous experience working with animals: ___________________


________________________________________________________________
Educational Background
Type of Name and Address Course of Study Did you List Degree or
School graduate? Diploma
High School

College

Graduate
School
Business or
Trade
Other

List any special skills or training you feel we should be aware of in considering
your application: __________________________________________________
________________________________________________________________
________________________________________________________________

Work History
Please list in chronological order beginning with your most recent position.

Company Name of Start End Job Title Responsibilities


Name, Address Supervisor Date & Date &
& Phone # Pay Pay

Please explain your reason for leaving: _________________________________


________________________________________________________________

Company Name of Start End Job Title Responsibilities


Name, Address Supervisor Date & Date &
& Phone # Pay Pay

Please explain your reason for leaving: _________________________________


________________________________________________________________
Company Name of Start End Job Title Responsibilities
Name, Address Supervisor Date & Date &
& Phone # Pay Pay

Please explain your reason for leaving: _________________________________


________________________________________________________________
May we contact any of the above Employers? ________
If no, why? _______________________________________________________

How many days were you absent from work or school in the past year? _______

We do not allow smoking anywhere on our property and we do not employ


people who show signs of alcohol or drug abuse.
Please comment: __________________________________________________

Personal References
Please list below three people you have known for at least a year (exclude former employers and relatives) .
Name Address Phone Relationship

Please write a couple of paragraphs about yourself: your likes, dislikes, interests,
dreams, successes, etc.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Country Acres Pet Resort is an equal opportunity employer. We do not


discriminate on the basis of sex, age, race, or religion.

By signing on the line below, I acknowledge that the information I have provided
is true and correct. I authorize this company to conduct an investigation of my
application to determine my qualifications for employment. I understand that any
false or misleading, furnished by me, may result in the rejection of this
application, or if employed, in the termination of my employment with
Country Acres Pet Resort.

___________________________________ __________________
Applicant Signature Date

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