Wag N' Wash healthy pet center, dog wash, pet shop, all in 1 cool place. Colorado Springs, Colorado

Wag n Wash Healthy Pet Center - Colorado Springs, Colorado

Application for Employment

EQUAL OPPORTUNITY EMPLOYER

Personal Information
First Name	Middle Name	Last Name	Email, if available
Present Address	City	State	Zip
Permanent Address	City	State	Zip
Phone	Referred by	Wag N' Wash Location
Have you worked for us in the past? If yes, when?
Are You 18 Years Old or Older? Yes No
If hired, can you furnish proof you are eligible to work in the United States? Yes No
Have you ever been convicted of any law violation? (Include any plea of "guilty" or "no contest") Yes No
If yes, give details (a conviction will not necessarily disqualify an applicant for employment)

Employment Desired
Position	Date You Can Start	Salary Desired
Are you employed? Yes No	May we speak to your current employer? Yes No
Have you applied with us before? Yes No	Where?	When?
What days and shifts are you available to work? FT PT

	Name/Location	Years Attended	Graduated	Subjects Studied
Educational History
High School			Yes No
College			Yes No
Trade, Business or Correspondence School			Yes No

Current/Former Employers
(List below last four employers, starting with last one first)

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give company name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.

Employer 1

Business Name/Address/Phone
Date	From To
Supervisor
Position
Salary	Start End
Reason for leaving

Employer 2

Business Name/Address/Phone
Date	From To
Supervisor
Position
Salary	Start End
Reason for leaving

Employer 3

Business Name/Address/Phone
Date	From To
Supervisor
Position
Salary	Start End
Reason for leaving

Employer 4

Business Name/Address/Phone
Date	From To
Supervisor
Position
Salary	Start End
Reason for leaving

Employer 5

Business Name/Address/Phone
Date	From To
Supervisor
Position
Salary	Start End
Reason for leaving

Have you ever been fired from a job or asked to resign?Yes No

If yes, please explain.

Name	Address	Business	Years Known	Contact Information
References (Below, please list three personal references, not related to you, whom you've known at least one year.)

GENERAL INFORMATION
What personal and/or professional experience do you have with cats and dogs? (the lack of experience does not necessarily disqualify an applicant for employment) What personal and/or professional experience do you have with natural pet foods? (the lack of experience does not necessarily disqualify an applicant for employment) What other special training or skills do you have that would apply to this position?

AFFIDAVIT, CONSENT AND RELEASE

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.

I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE.

IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

I have read, understand, and by my electronic signature consent to these statements.

TYPE YOUR NAME IN THE BOX BELOW AND CHECK THE "I AGREE AND SIGN" BOX TO STATE THAT YOU HAVE READ AND AGREE WITH THIS AUTHORIZATION. YOUR CHOOSING THE "I AGREE AND SIGN" BOX WILL BE CONSIDERED YOUR ELECTRONIC SIGNATURE AND AUTHORIZATION.

I, , AGREE & SIGN

This application for employment will remain active for a limited time. You may contact the Human Resource Department for more details.

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