Kennel Assistant Employment Application

All fields are required. If a field does not apply, please insert NA.

Date *

Personal Information

Name: *

First

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone: *

Email: *

The Job

Position(s) Applying for? *

Date Available? *

Desired Number of Hours Each Week: *

Desired Hourly Pay: *

Are you available for the hours posted in the job description? *

How did you hear about us? *

Why would you like to work with us? *

Background Information

Have you ever been convicted of a felony? *

Yes
No

If YES, please describe the offense(s) for which you were convicted: *

Have you attended or are you attending high school: *

Yes
No

If YES, name of high school: *

Have you graduated? *

Are you attending, or have you attended, college or a trade training program? *

Yes
No

If YES, name of school and program and number of years attended: *

Have you graduated from college or training? *

Most Recent Employment

Company Name: *

Company Phone: *

Company Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name: *

Position You Held: *

Responsibilities: *

Beginning and Ending Dates of Dates of Most Recent Employment: *

Reason for Leaving Most Recent Employment: *

May we contact your most recent supervisor for a reference? *

Yes
No

Additional Information

Do you have a valid driver’s license that allows you to drive in Ohio? *

Yes
No

How will you get to & from our facility each working day? *

Do you certify that your answers are true and complete to the best of your knowledge: *

Comments