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17440 Crenshaw Blvd. Torrance, CA 90504 (310) 719-7088 |
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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 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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