Employment Applicaton - Power To The Pawz

Employment Application

First Name *

Last Name *

Address *

City *

State *

Zip *

Email Address *

Car Make/Model *

Plate # *

Are you employed now? *YesNo

Can we call your present employer? *YesNo

Position desired *

Date you can start *

Application is for *

Full timePart time

Minimum salary requirement *

What days and hours are you available? *

Are you 21 years of age or older? *YesNo

If no, please give age

Are you a citizen of the US? *YesNo

If not, do you have a legal right to work in the US?YesNo

Have you ever been convicted of a Felony or Misdemeanor? *YesNo

If yes, please explain

Areas of Dallas Metroplex that you are willing to service: *

Personal References

List 2 personal (not related to you) or professional references whom you have known for at least 3 years.

Reference #1 Name *

Reference #1 Email *

Reference #1 Phone *

Relationship *

Years known *

Reference #2 Name *

Reference #2 Email *

Reference #2 Phone *

Relationship *

Years known *

Present and Past Employment

(beginning with most recent job). Be sure to explain any gaps in employment.

#1 Company

Address

Dates of Employment

Earnings at hire

Earnings at leaving

Description of duties

Reason for leaving

#2 Company

Address

Dates of Employment

Earnings at hire

Earnings at leaving

Description of duties

Reason for leaving

#3 Company

Address

Dates of Employment

Earnings at hire

Earnings at leaving

Description of duties

Reason for leaving

Education

High School *

High School attainment *

College

College attainment

Graduate School

Graduate School attainment

Please answer the following carefully:

Are you willing to stay overnight in a client's home? *YesNo

Are you afraid or allergic to any animals? *YesNo

(Please consider reptiles, fish, birds, and small animals too.)

If yes, please explain

Please mark when you ARE available to care for pets.