Dog Daze Playcare Employment Application (Please Copy & Paste & email to info@dogdazeplaycare.com

Applicant Information:

Applicant Name:         Date:    
Home Phone:    Cell Phone:       
Email Address:           
Number and Street:           
City:        State and Zip:       

How were you referred to Dog Daze Playcare?            

Employment Positions

Position(s) applying for:           

Are you applying for Part-time work or Full-time work?           

What days and hours are you available for work?           

If applying for temporary work, when will you be available?        

If hired, on what date can you start working?        

Personal Information:

If hired, would you have transportation to/from work? [ ] Y or [ ] N

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) [ ] Y or [ ] N

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N

Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N

If yes, please describe the crime:           

           

           

Education, Training and Experience:

What experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?            

           

           

           

           

Employment History:

Are you currently employed? [ ] Y or [ ] N

If you are currently employed, may we contact your current employer? [ ] Y or [ ] N

Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.

Name of Employer:           
Telephone Number:        Business Type:   
Address:        City, State, Zip:       

Length of Employment (Include Dates):           

Position & Duties:           
Reason for Leaving:           
May we contact this employer for references? [ ] Y or [ ] N

Name of Employer:           
Telephone Number:        Business Type:   
Address:        City, State, Zip:       

Length of Employment (Include Dates):           

Position & Duties:           
Reason for Leaving:           
May we contact this employer for references? [ ] Y or [ ] N

Name of Employer:           
Telephone Number:        Business Type:   
Address:        City, State, Zip:       

Length of Employment (Include Dates):       

Position & Duties:           
Reason for Leaving:           
May we contact this employer for references? [ ] Y or [ ] N

References:

List below three persons, not related to you, who have knowledge of your work performance within the last four years. 

Name:           
Address:           
City, state, zip:    Telephone Number:   
Number of Years Acquainted:           

Name:           
Address:           
City, state, zip:    Telephone Number:   
Number of Years Acquainted:           

Name:           
Address:           
City, state, zip:    Telephone Number:   
Number of Years Acquainted:           


Please Read and Initial Each Paragraph, then Sign Below:

_____I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure employment can be grounds for rejection of application or, if I am employed by Dog Daze Playcare, terms for my immediate expulsion from the Dog Daze Playcare.

_____I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or Dog Daze Playcare.

_____I permit the Dog Daze Playcare to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release Dog Daze Playcare, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

Applicant’s Signature:        Date:   

(Please Copy & Paste & email to info@dogdazeplaycare.com