BOMAR PLAZA
842 S. State St.
Greenfield, IN
EMPLOYMENT APPLICATION
Personal Information
Your Name: Your Address: City/State/Zip: Phone Number: E-Mail Address:
GENERAL QUESTIONS Yes or No: I can lift 50 Pounds Yes or No: I have reliable transportation to and from work Yes or N0: I can stand for extended periods of time Yes or No: I can bend and lift for extended periods of time Yes or No: I can work Holidays and Weekends Yes or No: Have you ever been convicted of a felony? If yes what? Do you have previous experience with dogs, pack behaviors, or training?
I certify that the facts that are contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on the application will 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 might have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the forgoing, unless it is in writing and signed by an authorized company representative. I authorize Playful Paws Doggy Daycare, LLC and or its selected agents to complete a thorough background check on me (YES or NO).
Your Full Name: Date of Birth (Month/Day/Year): Today's Date:
EMPLOYMENT INFORMATION How did you hear about us? Date you can start: Desired Salary: Highest Level of Education: Hours/times available to work: Days Available to work (Monday-Sunday):
THREE PREVIOUS EMPLOYERS:
Current (or most recent) Employer Name: Supervisor Name: Dates Employed by Company: Salary: Why did you leave?
Previous Employer/Company Name: Supervisor Name: Dates Employed by Company: Salary: Why did you leave?
THREE REFERENCES Name of Company or Person Phone Number or E-mail Address: Relationship to You:
Name of Company or Person Phone Number or E-mail Address: Relationship to You:
What Hours and Days are you able to work?