Application for Employment

(Pre-Employment Questionnaire) - (An Equal Opportunity Employer)

Swanson's Streamway Dog Park and Daycare is a non-smoking facility, located on a non-smoking premises.

 

PERSONAL INFORMATION


Last Name

First Name

Middle
 

Present Street Address

City

State

Zip Code
 

Permanent Street Address

City

State

Zip Code
 

Home Phone

Work Phone

Cell Phone
At which of these phone numbers would you like to be contacted during the daytime?   
 
Are you 18 years of age or older? 
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?   
 

EMPLOYMENT DESIRED


Position desired

Date you can start
/ hour
Salary Desired
 
Are you employed now?   
If so, may we inquire of your present employer?
Have you ever applied to this company before?        If yes, when? 
Who referred you to our company?  
 

EDUCATION

  Name and Location of School No. of years attended Did you graduate? Subjects studied
Grammar School
High School
College
Trade or Business School
 
Subjects of special study or research work:  
Special skills:  
Activities (Civic, Athletic, etc):  
(Exclude organizations, the name of which indicates the race, creed, sex, age, marital status or nation of origin of its members)
 
FORMER EMPLOYERS
Date
(Month / Year)
Name and address of employer Salary
(per hour)
Position Reason for leaving
From 
To     

From 
To     

From 
To     

From 
To     

 

REFERENCES

Give the names of three persons not related to you, whom you have known at least one year.
Name:   Phone:   Business:   Years Known:
Name:   Phone:   Business:   Years Known:
Name:   Phone:   Business:   Years Known:
 
In case of emergency, notify:   Name:   Phone:
 

By clicking "Submit":

    I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
    In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.  I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.  I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

 

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