Employment Application Form

Application for Employment

Personal Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Employment Desired

Position applied for?

How did you hear about this position?

Date available for work

Desired hours (full time, part time, etc.)

Position

Manager

Dog Trainer

Groomer

Bather

Pet Care Technician

Handy Person

Education

High School Name and Address

Course of Study

HS Years of Study

Degree/Diploma

Undergraduate College Name and Address

Under Grad Course of Study

Under Grad Years of Study

Under Grad Degree/Diploma

Graduate Professional Name and Address School

Graduate Course of Study

Graduate Years of Study

Graduate Degree/Diploma

List any seminars, classes, or other education not listed above which may help qualify you for a position at Our House(Required)

Employment History

List below all present and past employers over the past ten years, starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume.

Employer 1

Start Date 1

End Date 1

Work Performed 1

Address 1

Street Address City State / Province / Region ZIP / Postal Code Country

Phone 1

Fax 1

Email 1

Job Title 1

Supervisor 1

Reason for Leaving 1

What value did you add to this company or its customers? 1

Employer 2

Start Date 2

End Date 2

Work Performed 2

Address 2

Street Address City State / Province / Region ZIP / Postal Code Country

Phone 2

Fax 2

Email 2

Job Title 2

Supervisor 2

Reason for Leaving 2

What value did you add to this company or its customers? 2

Employer 3

Start Date 3

End Date 3

Work Performed 3

Address 3

Street Address City State / Province / Region ZIP / Postal Code Country

Phone 3

Fax 3

Email 3

Job Title 3

Supervisor 3

Reason for Leaving 3

What value did you add to this company or its customers? 3

Additional Information

List any professional, trade, business or civic activities and offices held. You may exclude any membership that would reveal gender, race, religion, national origin, ancestry, age, disability or any other protected status.

List any languages other than English that you can speak, read or write:

Please identify any specific animal or pet related experience that you have.

Identify what skills you possess that make you most suited for the position applied for on this application:

Explain how, if you are hired, you plan to add value to OHB:

Identify what you believe are the most unique features of OHB:

Skills and Qualifications Information (please check yes or no)

Have you ever been employed with this company before?

If yes, when?

Do you have any friends or relatives employed by this company?

If yes, please provide their names and relationship to you:

Are you currently employed?

If employed, may we contact your current employer?

Are you currently on “lay off” status and subject to recall?

If you are under 18 years of age, can you provide proof of your eligibility to work in the U.S.?

If hired, can you provide proof of U.S. citizenship or proof of your legal right to live and work in this country?

If hired, would you have a reliable means of transportation to and from work?

If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for?

If yes, explain accommodation required:

Are you able to perform the essential functions and duties of the job for which you are applying? (lifting 50+ lbs, walking or standing for long periods etc.)

Regarding lifting. If not, please describe the functions or duties you are unable to perform:

If hired, would you be able to travel and work overtime as needed?

Do you understand that All holidays( Spring Break, Memorial Day thru August 8th,Labor Day ,Thanksgiving, Dec 20th thur Jan 8th are MANDITORY WORK PERIODS. Failure to work during these times if assigned will result in termination of your position. These dates are critical and someone will be hired to fill your position should you fail to work without prior approval in writing from your manager

Have you ever been treated for work related injuries by a doctor?

If yes, explain injury/s and treatment/s:

Do you understand that failure to show up for your assigned work day without calling your manager will be grounds for immediate termination. Texting is NOT acceptable.

Do you understand that excessive tardiness ( more than one time in a two week period can result in termination)

Do you understand that slander against Our House Braselton or any other employee will be grounds for termination .

Do you understand that any use of Tobacco, Alcohol or non prescribed drugs while on premises will result in immediate termination.

References

References Name 1

First Last

References Occupation 1

Reference Phone 1

Reference Email 1

Company Name 1

Company Address 1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year Acquainted with Company 1

References Name 2

First Last

References Occupation 2

Reference Phone 2

Reference Email 2

Company Name 2

Company Address 2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year Acquainted with Company 2

References Name 3

First Last

References Occupation 3

Reference Phone 3

Reference Email 3

Company Name 3

Company Address 3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year Acquainted with Company 3

Additional space is provided to expand on any points or questions asked previously in this application.

63763

Phone

Hours

Employment Application Form

Application for Employment

Personal Information

Employment Desired

Education

Employment History

Additional Information

Skills and Qualifications Information (please check yes or no)

References

Opening Hours

Address

Phone