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28991
Golden Lantern #D101. Laguna Niguel, CA 92677 (949) 495-0500 |
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Fax (888) 662--1229 |
Application For Employment
Personal Information:
Name: Last, First, Middle ___________________________________________________Employment Desired:
Position ______________________ Date available ______________Salary desired (Use dollar amount / Please do not write OPEN) ______
Are you currently employed? _________
If so, may we contact your current employer? _________
Employment Experience:
Employer _________________________________ Employed
from _________ to _________
Work Performed ________________________ Salary __________ Phone ________________
Address _________________________________ Title _____________________________
Supervisor ________________________ Reason for leaving ____________________________
Employer ___________________________________ Employed from _________ to _________
Work Performed ________________________ Salary __________ Phone _________________
Address ________________________________ Title _____________________________
Supervisor ________________________ Reason for leaving ____________________________
Employer ___________________________________ Employed from _________ to _________
Work Performed ________________________ Salary __________ Phone _________________
Address ________________________________ Title _____________________________
Supervisor ________________________ Reason for leaving ____________________________
If asked will you submit to a drug test? ______________________________________________
Have you ever been convicted of an offense other than a traffic citation? _________________
If yes; Explain __________________________________________________________________
Education:
Education ______________________________________________________Diploma/degree ______________________________________________________
Describe special training skills apprenticeship, extracurricular activities. ______________________________________________________________Pet Experience:
Do you own any pets? _________________________________________________ Describe ___________________________________________________________ Do you have any experience caring for animals? ____________________________ Explain ____________________________________________________________State any additional information you feel may be helpful to us in considering your application.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
References:
Give the names of three persons, not related to you, whom you have known at least one year.
Name, Address, Phone Business & Years known
1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
I authorize the investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated without any previous notice.
SIGNATURE _______________________________ DATE
___________________
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