EmailMe Form - PET SOURCE INC., FORM FOR EMPLOYMENT

PERSONAL INFORMATION:
Name *
First Last
Present Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone *
### - ### - ####
Cell Phone
### - ### - ####
Email *
Are you 18 years of age or older? *
Yes
No
If under 18, do you have the necessary work permits?
Yes
No
Are you a citizen of the United State of America? *
Yes
No
Date you can start *
MM / DD / YYYY
Location(s) applying for *
Stow
Concord
Lexington
Marlborough
Do you have reliable transportation to the locations(s) you are applying for? *
Yes
No
Are you willing and/or able to travel to other locations (that you are not applying for) if the need arises? *
Yes
No
Depends (Explain)
What type of hours are you looking for? *
Full Time (32+ Hours)
Part Time (Under 32 Hours)
Our shifts start as early as 9:00 AM and end as late as 8:00 PM. What is your availability? *
SUN 6AM-12PM
SUN 12PM-4PM
SUN 4PM-10PM
MON 6AM-12PM
MON 12PM-4PM
MON 4PM-10PM
TUES 6AM-12PM
TUES 12PM-4PM
TUES 4PM-10PM
WED 6AM-12PM
WED 12PM-4PM
WED 4PM-10PM
THU 6AM-12PM
THU 12PM-4PM
THU 4PM-10PM
FRI 6AM-12PM
FRI 12PM-4PM
FRI 4PM-10PM
SAT 6AM-12PM
SAT 12PM-4PM
SAT 4PM-10PM
Position Desired (Check all that apply): *
Cashier
Salesperson
Back of the House/Inventory
Groomer
Trainer
Animal Technician (Pet Care)
Management
Other (Please Explain):
Salary desired per hour (leave blank if negotiable)
$ Dollars . Cents
Do you Have Pet Experience? *
Yes
No
Do you have Retail Experience? *
Yes
No
Are you good with Computers? *
Yes
No
Can you stand or walk for more than 6 hours? *
Yes
No
Can you lift 40 lbs.? *
Yes
No
How did you hear about Pet Source?
EDUCATION & SKILLS:
Did you graduate High School or receive your GED? *
Yes
No
Did you attend a Technical/Trade School?
Yes
No
If so, what was your area of expertise?
Have you received your certification?
Yes
No
Have you attended college?
Yes
No
Area of Study
Have you received your college degree?
Yes
No
Describe any abilities, experience or aptitude that you believe would be helpful in your job.
EMPLOYMENT HISTORY:
Please account for the last 5 years of employment, starting with the most recent. Be as detailed as you can. Also include any notable jobs beyond 5 years that qualify you for the job.
Are you employed now? *
Yes
No
If so, may we contact your current employer?
Yes
No (Explain)
EMPLOYER #1:
Name of Business
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Job Description/Title
What kind of work did you do?
Date Started
MM / DD / YYYY
Starting Salary
$ Dollars . Cents
Date Left
MM / DD / YYYY
Ending Salary
$ Dollars . Cents
Name of Supervisor
Why did you leave?
EMPLOYER #2:
Name of Business
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Job Description/Title
What kind of work did you do?
Date Started
MM / DD / YYYY
Starting Salary
$ Dollars . Cents
Date Left
MM / DD / YYYY
Ending Salary
$ Dollars . Cents
Name of Supervisor
Why did you leave?
EMPLOYER #3:
Name of Business
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Job Description/Title
What kind of work did you do?
Date Started
MM / DD / YYYY
Starting Salary
$ Dollars . Cents
Date Left
MM / DD / YYYY
Ending Salary
$ Dollars . Cents
Name of Supervisor
Why did you leave?
EMPLOYER #4:
Name of Business
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Job Description/Title
What kind of work did you do?
Date Started
MM / DD / YYYY
Starting Salary
$ Dollars . Cents
Date Left
MM / DD / YYYY
Ending Salary
$ Dollars . Cents
Name of Supervisor
Why did you leave?
ADDITIONAL EMPLOYMENT:
If you ran out of space:
SECURITY:
Have you ever been convicted of (or pleaded guilty or nono contendere to) a crime?
Yes
No
Number of Times
Did the conviction(s) (or guilty or nolo contendre plea) result in imprisonment?
Yes
No
Number of Times
Do these convictions include Animal Cruelty?
Yes
No
PERSONAL REFERENCES:
REFERENCE #1:
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Relationship
Years Known
May We Contact?
Yes
No
REFERENCE #2:
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Relationship
Years Known
May We Contact?
Yes
No
A LITTLE MORE INFORMATION ABOUT YOURSELF...

Evaluate the following statements: *

	Strongly Disagree	Disagree	Agree	Strongly Agree
I love animals.	1	2	3	4
I would ONLY sell a customer something that I felt was in the animals best interest.	1	2	3	4
I am a people person.	1	2	3	4
I am a hard worker.	1	2	3	4
I can lift at least 40 lbs.	1	2	3	4
I get along with others.	1	2	3	4
I enjoy working.	1	2	3	4
I work only because I have to.	1	2	3	4
In previous jobs, there have been managers I have really disliked.	1	2	3	4
In the past, I have been terminated unfairly from my job.	1	2	3	4
I do not like being told what to do.	1	2	3	4
I would NEVER sell a customer something I would not give to my own animal!	1	2	3	4
I am a dog person.	1	2	3	4
I am a cat person.	1	2	3	4

I HAVE KNOWLEDGE OF THE NEEDS, CARE & MAINTENECE OF THE FOLLOWING ANIMALS: *

***OPTIONAL QUESTIONS***
Feel free to answer these questions IF you have the time. YOU ARE NOT REQUIRED TO DO SO but doing so will greatly help the interview proccess. There is no right or wrong answers just say what you feel!
*PLEASE SKIP AHEAD IF YOU DO NOT WISH TO ANSWER THESE QUESTIONS*
Are you or is someone in your family a Pet Source customer?
Yes
No
Tell us about Pet Source
Why do you want to work for Pet Source rather than another job?
What interests do you have outside your work?
How would your co-workers describe you?
Please explain your BEST boss in the workplace - why was he or she great?
Please explain your WORST boss in the workplace - why was he or she so bad?
Please explain your BEST experience when shopping in a retail store or dining out in a restaurant - what made it so special?
Did you communicate your postivie experience to the management?
Yes
No
Please explain you WORST experience when shopping in a retail store or dining out in a restaurant - what made it so horrible?
Did you communicate your negative experience to the management (i.e. complain)?
Yes
No
What is good customer service?
Are you a team player or do you prefer working alone?
How efficient are you in communicating with people? Rate yourself on a scale from 1 to 10.
1
2
3
4
5
6
7
8
9
10
How would you educate yourself about the products that we sell?
A customer leaves without paying for something, what would you do?
A co-worker is rude to customers, what would you do?
The credit card machine is broken. What do you say to the customers?
A customer wants to pay for $15 worth of merchandise in quarters, do you accept it?
A customer wants to return a package of food that is open and half gone. What will you do?
You are scheduled to leave work at 5PM and you have important plans. Your replacement worker has not shown up. What would you do?
What would you do if you suspected another employee was stealing?
Would you lie to a customer just to sell a product and meet your sales goal?
Yes
No
Is the customer indeed always right?
Yes
No
Other (Please Explain)
What is most important - a quality product or friendly, fast service?
Quality Product
Friendly, Fast Service
The customer's purchase totals $13.93. She gives you a ten dollar bill and a five dollar bill. How much change do you give her?
$ Dollars . Cents
Dog cookies are on sale at half price. They sell for $1.19. How much is 50% off?
$ Dollars . Cents
A customer buys $27 worth of product. He gives you a $50 bill. How much change do you give him?
$ Dollars . Cents
14 + 3 =
55 x 20 =
62 + 28 + 14 + 36 =
82.20 - 53.66 =
Give us one reason why we shouldn't hire the next applicant instead of you?
PLEASE READ CAREFULLY BEFORE COMPLETING AND SUBMITTING THIS APPLICATION:
I AGREE THAT:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment. An employer who violates this law shall be subject to criminal penalties and civil liability. 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 theis application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listerd above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all paries from all liability for any damage that may result from furnishing name to you. I understand and agree that, if hired my employment is for no definite period and may, regardless of the date of payment of wages and salary, be terminated at any time without prior notice.
THANK YOU!
Thank you for submitting your application for employment! Someone will get back to you as soon as we are able! Please leave us some feedback on your application proccess!

	Zero Knowledge	Some Knowledge	Extensive Knowledge	Expert Knowledge
DOGS	1	2	3	4
CATS	1	2	3	4
RABBITS	1	2	3	4
GUINEA PIGS	1	2	3	4
RATS	1	2	3	4
CHINCHILLAS AND/OR DEGUS	1	2	3	4
HAMSTER, GERBILS AND/OR MICE	1	2	3	4
FERRETS	1	2	3	4
CANARIES AND/OR FINCHES	1	2	3	4
PARAKEETS, COCKATIELS AND/OR PARROTS	1	2	3	4
GOLDFISH AND/OR TROPICAL FRESHWATER FISH	1	2	3	4
SALTWATER FISH	1	2	3	4
TURTLES AND/OR FROGS	1	2	3	4
IGUANAS, BEARDED DRAGONS, GECKOS OR OTHER REPTILES	1	2	3	4
HERMIT CRABS	1	2	3	4
HORSES	1	2	3	4

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PERSONAL INFORMATION:

EDUCATION & SKILLS:

EMPLOYMENT HISTORY:

SECURITY:

PERSONAL REFERENCES:

REFERENCE #2:

A LITTLE MORE INFORMATION ABOUT YOURSELF...

***OPTIONAL QUESTIONS***

*PLEASE SKIP AHEAD IF YOU DO NOT WISH TO ANSWER THESE QUESTIONS*

PLEASE READ CAREFULLY BEFORE COMPLETING AND SUBMITTING THIS APPLICATION:

OPTIONAL QUESTIONS

PLEASE SKIP AHEAD IF YOU DO NOT WISH TO ANSWER THESE QUESTIONS