APPLICATION FOR EMPLOYMENT |
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NAME AND ADDRESS
Name _______________________________________ Social Security No. ____________________ Current Address __________________________________________________________________ Zip Code ______________ How Long? _________ Home Phone _____________________________ Mobile Phone _________________________ Do you have internet access from home? __________ Email address: ____________________________________________________________________ POSITION DESIRED EMPLOYMENT STATUS Is your intent to continue in your current job(s) if you work for Critter Sitters? __________________ Are you currently a student? (or planning to go to school within the next 6 months?) _____________ ________________________________________________________________________________ Are there any commitments, activities, vacation plans, etc. that could affect your availability for Are you available to make morning and evening visits? ________ Weekends and holidays? ________ EMPLOYMENT HISTORY Please list periods of unemployment during the past three years. All reasons must be specific. From: __________ To: __________ Reason: ___________________________________________ From: __________ To: __________ Reason: ___________________________________________ From: __________ To: __________ Reason: ___________________________________________
EMPLOYMENT RECORD EMPLOYER Company _______________________________________________________________________ Address ________________________________________________________________________ Telephone No. ___________________________________________________________________ Dates Employed From: __________ To: __________ Last Salary ___________________________ Last Position Held ________________________________________________________________ Last Supervisor’s Name ____________________________________________________________ Be Specific: Why Did You Leave? _____________________________________________________ EMPLOYER Company _______________________________________________________________________ Address ________________________________________________________________________ Telephone No. ___________________________________________________________________ Dates Employed From: __________ To: __________ Last Salary ___________________________ Last Position Held ________________________________________________________________ Last Supervisor’s Name ____________________________________________________________ Be Specific: Why Did You Leave? _____________________________________________________ EMPLOYER Company _______________________________________________________________________ Address ________________________________________________________________________ Telephone No. ___________________________________________________________________ Dates Employed From: __________ To: __________ Last Salary ___________________________ Last Position Held ________________________________________________________________ Last Supervisor’s Name ____________________________________________________________ Be Specific: Why Did You Leave? _____________________________________________________ MAY WE INQUIRE OF YOUR PRESENT/PAST EMPLOYERS?___________________________________ IF YOU ATTENDED HIGH SCHOOL Name of High School _______________________________________________________________ City ____________________________________________ Graduated? ______________________ IF YOU ATTENDED COLLEGE Name of College __________________________________________________________________ City ______________________________________ Graduated? _________ Degree ____________ Do you have any other kind of education/training? If "yes", please explain _____________________ ________________________________________________________________________________ OTHER INFORMATION Have you ever been known by a different name? ______ If "yes", what was it? _________________ Have you ever been convicted of a crime or a violation other than a minor traffic violation?_________ If "yes", list all convictions, stating date, nature of offenses and where they occurred. ____________ ________________________________________________________________________________ Are you legally eligible to work in the United States? ________ Age, if under 21 ________ If under 21, what is your date of birth? ________ Can you provide your own reliable transportation? ________ Do you have a valid driver’s license and automobile insurance? ________ Do you have any physical condition that may limit your ability to perform the job applied for? _______ If “yes”, please explain _____________________________________________________________ Would you be interested in taking pets into your home? ___________________________________ Would you be interested in staying overnight in a client’s home to take care of pets? _____________ Are there any pets you would refuse to care for? _________________________________________ Do you have pets? _______ Describe __________________________________________________ Please tell us why you would like to be a pet sitter ________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ PERSONAL REFERENCES Give name of three persons, not relatives or former employers, who have known you for five (5) Name __________________________________________________________________________ Current Address __________________________________________________________________ City/State/Zip ____________________________________________________________________ Home Telephone _____________________________ Number of Years Known _________________ Name __________________________________________________________________________ Current Address __________________________________________________________________ City/State/Zip ____________________________________________________________________ Home Telephone _____________________________ Number of Years Known _________________ Name __________________________________________________________________________ Current Address _________________________________________________________________ City/State/Zip ____________________________________________________________________ Home Telephone _____________________________ Number of Years Known _________________ IN CASE OF EMERGENCY, NOTIFY: Name _________________________________________ Home Telephone ____________________ Current Address _________________________________ Work Telephone ____________________ I hereby certify that all statements and answers made on this Employment Application are complete and true. I understand that if subsequent to employment any such statements and/or answers are found to be false or that information is omitted, such false statements or omissions will be considered grounds for termination of my employment. I hereby authorize all personnel, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any and all information pertinent to my employment and release the same from any liability resulting from providing such information. Critter Sitters & Company, Inc. has my permission to make said inquiries and I hereby release Critter Sitters from any liability in making said requests or in relying on the information received.
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