Employment Application

Date

Section1 – Applicant Information

First Name

Middle Initial

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Applying For

Date Available to Start

Are you a citizen of the United States?

Yes

Are you authorized to work in the US?

Yes

Have you ever worked for this company?

Yes

When?

Are you 18 years or older?

Yes

Have you been convicted of a felony?

Yes

All Employees are REQUIRED to be over the age of 18!

Explain felony conviction

Section 2 – Education

Name & Location

Graduate Yes/No

Diploma/Degree/Certification

Course / Major

Name & Location

Graduate Yes/No

Diploma/Degree/Certification

Course / Major

Section 3 – Employment History

Start Date

End Date

Company

Position

Hourly Rate

Reason for Leaving

Start Date

End Date

Company

Position

Hourly Rate

Reason for Leaving

Start Date

End Date

Company

Position

Hourly Rate

Reason for Leaving

Section 4 – References

Name

Phone Number

Occupation

Years Known

Type

Name

Phone Number

Occupation

Years Known

Personal / Business

Section 5 – Dog Related Information

Have you owned a dog(s)?

Yes

How many years have you owned dogs?

Have you worked at a dog daycare before?

Yes

When / Where?

Have you ever raised a puppy?

Yes

Did you crate train him/her?

Yes

Do you have any other pets?

Yes

What Kind?

Have you ever taken obedience classes with your pet?

Yes

When/Where?

Have you ever taught dog training classes?

Yes

When/Where?

Will you be comfortable in a group of 10 or more dogs?

Yes

Do you have any fear of putting your hand in a dog’s mouth?

Yes

Are you squeamish around diarrhea or vomit?

Yes

Do you feel you can handle an 80 lb dog on a leash?

Yes

Have you ever administered oral meds to dogs?

Yes

Do you feel you can get in between 2 dogs to pull them apart if necessary?

Yes

Section 6 – General Information

Looking for Part Time / Full Time?

Part-Time

Full-Time

Are you available to do overnights with the dogs? ( 7 PM to 7 AM)

Yes

Do you consider yourself detail oriented?

Yes

Desired Hours per Week?

Do you have your own transportation?

Yes

Do you have Windows/PC computer experience?

Yes

Do you have any physical limitations that would make you unable to:

Go Up & Down Stairs

Yes

Sit on the floor

Yes

Lift over 25 lbs.

Yes

Be on your hands & knees

Yes

How did you hear about us?

What made you want to apply for work here?

What do you feel you have to offer Happy Hounds Dog Day Care?

What qualities do you have that you feel are important for this job?

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I have read and agree to the HireRight Employment Screening Disclosure

I certify that my answers 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 release. The applicant gives to the employer the right to obtain credit information, public records, criminal records and verify references.