YOUR BEST FRIEND’S FRIEND
EMPLOYMENT APPLICATION FORM
NAME _________________________________________________________________DATE
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PRESENT ADDRESS
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HOW LONG AT THIS ADDRESS ___________________________SOCIAL SECURITY #
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HOME TELEPHONE___________________________ CELL PHONE
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BIRTHDATE _____________________________________EMAIL ADDRESS
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POSITION APPLYING FOR
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DAYS YOU ARE AVAILABLE TO WORK (CIRCLE) MON TU WED THUR FRI SAT SUN
DO YOU HAVE A PREFERENCE FOR DAYS OFF
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HOURS YOU ARE AVAILABLE (CIRCLE) 6:00 AM – 1:00 PM 2:00 PM – 8:00 PM 9:00 AM – 4:00 PM
ARE YOU AVAILABLE TO WORK HOLIDAYS? (CIRCLE) YES NO
WHEN ARE YOU AVAILABLE TO START WORK _______________________
EDUCATION:
NAME OF SCHOOL LOCATION # YRS COMPLETED MAJOR/DEGREE
HIGH SCHOOL ___________________ _____________________ __________________ _______________
COLLEGE ___________________ _____________________ __________________ _______________
PROFESSIONAL SCHOOL ___________________ _____________________ __________________
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HAVE YOU EVER BEEN CONVICTED OF A CRIME? (CIRCLE) YES NO
IF YES, EXPLAIN NUMBER OF CONVICTION, NATURE OF OFFENSE LEADING TO CONVICTION, HOW RECENTLY SUCH OFFENSE WAS COMMITTED, SENTENCE IMPOSED, AND TYPE OF REHABILITATION
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DO YOU HAVE A DRIVER’S LICENSE (CIRCLE) YES NO DO YOU HAVE A RELIABLE CAR (CIRCLE) YES NO
DRIVER’S LICENSE NUMBER __________________________ STATE OF ISSUE _____ EXPIRATION DATE
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AUTOMOBILE PLATE NUMBER _____________________________________
HAVE YOU HAD ANY ACCIDENTS DURING THE PAST TWO YEARS AND HOW MANY
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HAVE YOU HAD ANY MOVING VIOLATIONS DURING PAST TWO YEARS AND HOW MANY
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JOB APPLICATION PAGE TWO NAME: __________________________________________________________
PLEASE LIST TWO REFERENCES OTHER THAN RELATIVES OR PREVIOUS EMPLOYERS
NAME ________________________________________________POSITION
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COMPANY _____________________________________ADDRESS
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____________________________________________________________TELEPHONE
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NAME ________________________________________________POSITION
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COMPANY _____________________________________ADDRESS
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____________________________________________________________TELEPHONE
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WORK EXPERIENCE:
PLEASE LIST YOUR WORK EXPERIENCE FOR THE PAST THREE YEARS BEGINNING WITH YOUR MOST RECENT JOB HELD. ATTACH RESUME.
NAME OF EMPLOYER _____________________________________ADDRESS
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_________________________________________PHONE _______________________________
NAME OF LAST SUPERVISOR_____________________________YOU LAST JOB TITLE
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EMPLOYMENT DATES: FROM ________________ TO __________________ ENDING PAY OR SALARY
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REASON FOR LEAVING
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LIST THE JOBS YOU HELD, DUTIES PERFORMED, SKILLS USED OR LEARNED, ADVANCEMENTS OR PROMOTIONS WHILE YOU WORKED AT THIS COMPANY
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NAME OF EMPLOYER _____________________________________ADDRESS
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_________________________________________PHONE _______________________________
NAME OF LAST SUPERVISOR_____________________________YOU LAST JOB TITLE
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EMPLOYMENT DATES: FROM ________________ TO __________________ ENDING PAY OR SALARY
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REASON FOR LEAVING
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EMPLOYMENT APPLICATION PAGE 3 NAME
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LIST THE JOBS YOU HELD, DUTIES PERFORMED, SKILLS USED OR LEARNED, ADVANCEMENTS OR PROMOTIONS WHILE YOU WORKED AT THIS COMPANY
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NAME OF EMPLOYER _____________________________________ADDRESS
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_________________________________________PHONE _______________________________
NAME OF LAST SUPERVISOR_____________________________YOU LAST JOB TITLE
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EMPLOYMENT DATES: FROM ________________ TO __________________ ENDING PAY OR SALARY
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REASON FOR LEAVING
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LIST THE JOBS YOU HELD, DUTIES PERFORMED, SKILLS USED OR LEARNED, ADVANCEMENTS OR PROMOTIONS WHILE YOU WORKED AT THIS COMPANY
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NAME OF EMPLOYER _____________________________________ADDRESS
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_________________________________________PHONE _______________________________
NAME OF LAST SUPERVISOR_____________________________YOU LAST JOB TITLE
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EMPLOYMENT DATES: FROM ________________ TO __________________ ENDING PAY OR SALARY
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REASON FOR LEAVING
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LIST THE JOBS YOU HELD, DUTIES PERFORMED, SKILLS USED OR LEARNED, ADVANCEMENTS OR PROMOTIONS WHILE YOU WORKED AT THIS COMPANY
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MAY WE CONTACT YOUR EMPLOYER (CIRCLE) YES NO
EMPLOYMENT APPLICATION PAGE 4 NAME ______________________________________________
WHY DID YOU APPLY FOR THIS POSITION
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PLEASE EXPLAIN WHY YOU FEEL YOU WOULD BE A GOOD CANDIDATE FOR THE POSITION YOU ARE APPLYING FOR
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WHAT PERSONAL AND PROFESSIONAL EXPERIENCE HAVE YOU HAD WITH PETS
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ARE THERE ANY PETS YOU WOULD PREFER NOT TO CARE FOR
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ARE YOU COMFORTABLE ADMINISTERING MEDICATIONS
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WHAT IS THE MOST IMPORTANT THING YOU ARE LOOKING FOR IN THIS JOB
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