Print this application out and mail or fax to:

28991 Golden Lantern #D101. Laguna Niguel, CA 92677 (949) 495-0500
17440 Crenshaw Blvd. Torrance, CA 90504 (310) 719-7088
415 Avenida Pico, Ste. O San Clemente, CA 92672 (310) 361-8907
25502 Marguerite Parkway, Mission Viejo. CA (949) 951-1126
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

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 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 ___________________


pnganimf.gif (2906 bytes)
Click here to go to our home page.