Print this application out and mail or fax to:

17440 Crenshaw Blvd. Torrance, CA 90504 (310) 719-7088 25502 Marguerite Parkway, Mission Viejo. CA (949) 951-1126 28991 Golden Lantern #D101. Laguna Niguel, CA 92677 (949) 495-0500 415 Avenida Pico, Ste. O San Clemente, CA 92672 (310) 361-8907 638 Camino De Los Mares #A-140, San Clemente, CA 92673 (949) 896-8400 32022 Camino Capistrano #A, San Juan Capistrano, CA 92675 (949) 248-3400 NEW Torrance Location Now Open (Rolling Hills Plaza)

Fax (888) 662--1229

Application For Employment

Personal Information:

Name: Last, First, Middle ___________________________________________________

Social Security number _____________________________________________________

Present address _______________________________________________________

Permanent address ________________________ Age if Under 18 ______________

Phone number ___________________ Referred By ________________________

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 ______________________________________________________

Describe Course _________________________________________________

Diploma/degree ______________________________________________________

Describe special training skills apprenticeship, extracurricular activities. ______________________________________________________________

Honor received ________________________________

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 At-Will and 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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