EmailMe Form - Health Mutt Employment Application

Position *

Groomer

Retail Associate

Retail Team Lead

When can you start? *

MM / DD / YYYY

Link to Grooming Photos

Option to Attach Resume

Contact Information

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone Number *

### - ### - ####

Birth Date *

MM / DD / YYYY

How will you get to work? *

Previous Job History

Only list your last 2 jobs, and nothing prior to 2009
*If this information is in your attached resume, you may remit

Job # 1

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Place of work, Job Title & Supervisor's Name

Please give a job description, job duties and a detailed explanation about why you left or were let go

Starting Pay and Ending Pay

Job # 2

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Place of work, Job Title & Supervisor's Name

Please give a job description, job duties and a detailed explanation about why you left or were let go

Starting and Ending Pay

Expectations and Availability

I am applying for: *

Part Time (20-35 hrs)

Full Time (35-40hrs)

Your Availability: *

Any specific availability we should be aware of? (10-2 Monday and Wednesday, 10-4 Fridays, etc)

Hourly Pay or Commission Desired:

How many hours a week can you work? *

Education and Background

Highest Education Level Completed: *

High School Name and Location

College Name and Location

Years of College Completed (if applicable)

Have you ever been convicted of a crime? *

Yes

No

If yes, please explain:

Let's get to know you...

Are you comfortable and familiar using Mac computers?

Do you have pets? If so, what kind and how many?

If you have pets, what do you feed them, why do you feed them that and where do you purchase their food?

Why would you like to be a team member at Health Mutt?

Why do you think customers shop at our store?

Do you have any qualifications that would make you excellent for the job you are applying for? Tell us about it!
We would love to hear what makes your right for the position.