Application for Employment Personal Information Last Name* First Name* Present Address* Home Phone No.* Cell Phone No.* Email Address* Age* Do you have a Social Security Number?* Yes No Employment Desired Position* Date you can start* Weekly Salary Desired* Are you employed?* Yes No If so, may we inquire of your present employer?* Yes No Are you looking for:* Part time Full time Any of them Could you work from 8:00 am to 5:00 pm?* Yes No Are you able to work weekends?* Yes No Education History Education Level*Choose OptionGrammar SchoolHigh SchoolCollegeTrade, Business Name of Institution* Location of Institution* Years attended* Did you graduate?* Yes No Subjects studied* Do you speak any other language?* Yes No If yes, please select* Spanish French Portuguese Creole Other Former employers Employer 1 Name of employer Date from - to Telephone Address Position Salary Reason for leaving Employer 2 Name of employer Date from - to Telephone Address Position Salary Reason for leaving References Give below the names of three persons not related to you, whom you have known at least one year. Reference 1 Full Name Telephone Address Years to know Reference 2 Full Name Telephone Address Years to know Reference 3 Full Name Telephone Address Years to know Character Address Do you mind working with animals? Yes No Are you afraid of dogs?* Yes No Between 1 to 10 how detail oriented are you?* Have you ever been convicted of a felony?* Yes No What do you think you will enjoy the must about working here?* What motivates you to do a job well done?* How long do you see yourself working at Petman Grooming Salon?* 1 month 3 months 6 months 1 year or more Authorization “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained here in and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.” Signature* Date* Please leave this field empty.