ANIMAL WATCHERS & MORE, INC.
7407 Poorman Rd
Vermilion, OH 44089
440-967-5436
440-967-7610 FAX
EMPLOYMENT APPLICATION
PART A - COMPATIBILITY
We work seven days a week, 365 days a year, from 6:00 a.m. to 10:00 p.m.
Due to the nature of our business we need the most help on Fridays, Saturdays, Sundays and Mondays..
How many hours per week do you wish to work?
What days of the Week and Time Periods are you available to work?
What Days Are You Unavailable To Work?
What Special Skills, Training and Knowledge Would You Bring To Our Staff?
What Computer Applications Do You Have A Working Knowledge Of?
What Experience Do You Have Caring For Dogs And Cats?
What Pets Currently Share Your Life?
PART B - PERSONAL INFORMATION
Name:_______________________________________(Last, First, Middle)
Street Address:___________________________________________
City: _________________________ State: ______ Zip Code: ___________
Email Address:______________________
Home Phone # :____________________Cell Phone #:____________________
Drivers License # :____________________Social Security #:____________________
I am a U.S. Citizen_____Yes_____No
If No, I am Legally Eligible to Work in the U.S.A._____Yes_____No
Date You Can Start:_______________Salary Desired:_______________
Are You Currently Employed?_____Yes_____No
If Yes, May We inquire of You Employer?_____Yes_____No
Have You Applied with Us Before?_____Yes_____No
When:_______________
Do You Have Reliable Transportation?_____Yes_____No
Have You Ever Had a Moving Vehicle Violation?_____Yes_____No
If Yes, List and Explain:
Have You Ever Been Arrested or Convicted of a Crime?_____Yes_____No
If Yes, Explain:
Have You Used Illegal Drugs?_____Yes_____No
If Yes, Explain:
Have You Ever Applied For or Received Workman's Compensation?_____Yes_____No
If Yes, Explain:
Do You, or Have You Ever Had, Back, Hip, or Knee Problems?_____Yes_____No
If Yes, Explain:
How Many Days Did You Miss Work in The Past Year:_____
Due to Illness:_____ Due to Other Reasons:_____
PART C - EDUCATION
High School:
Name:____________________City:____________________State:_____
Year You Graduated:__________
College: Name:_______________City:_______________State:_____
Years Attended:_______________Did You Graduate:__________Major:_______________
Other:
Technical School: Name:_______________City:_______________State:_____
Years Attended:_______________Did You Graduate:_____Subject Studied:_______________
PART D - HOBBIES & INTERESTS:
PART E - WORK HISTORY
Current or Last Employer Name, Address, and Phone Number:
Please give a brief description of what your job entailed.
Dates Employed: From_______________to________________
Reason(s) for Leaving:
Previous Employer Name, Address, and Phone Number:
Please give a brief description of what your job entailed.
Dates Employed: From_______________to________________
Reason(s) for Leaving:
AUTHORIZATION
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information."
DATE:__________SIGNATURE:_________________________