EmailMe Form - EMPLOYMENT APPLICATION

Position

DOG CAREGIVER

When can you start? *

MM / DD / YYYY

Upload Your Resume

Word or PDF Documents Only

Contact Information

Name *

First Last

Address *

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

Mobile Phone *

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

Home Phone

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

Email *

Date of Birth *

MM / DD / YYYY

Are you able to work schedules: 7 am - 10 am and/or 5 pm - 7 pm. Weekends and Holidays included? *

Yes

No

QUESTIONAIRE

Are you physically fit and able to lift 40 pounds? *

Yes

No

Do you have previous dog care experience? *

Yes

No

If yes please provide information:

Why do you feel you would be a good fit for this position? *

Have you ever dealt with a dog with medical emergency or injury? Please describe... *

Have you ever been in a situation with an fearful or aggressive dog? Please describe... *

EDUCATION (Please complete any and all that apply) *

High School Graduate or GED

College or Technical School Graduate

GENERAL List subjects of special study or research work, special skills, activities (Civic, athletic, etc)

REFERENCES (Please list 2 personal references. Name, Phone Number, # of Years Acquainted) *

PREVIOUS EMPLOYMENT (Please list two most recent employers)

Employer Name *

First Last

Business Name *

Employer Address *

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

Phone *

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

Position *

Employed Date From *

MM / DD / YYYY

Employed Date To *

MM / DD / YYYY

Reason for leaving *

May we contact this person? *

Yes

No

Employer Name *

First Last

Business Name *

Employer Address *

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

Phone *

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

Position *

Employed Date To *

MM / DD / YYYY

Employed Date From *

MM / DD / YYYY

Reason for leaving *

May we contact this person? *

Yes

No

1. I authorize Animal Rescue Foundation of Louisiana to investigate my record, including any of the information contained in this employment application except where my written statement specifically requests that no reference be made.
2. I understand that nothing contained in this employment application, or in any oral representations made to me during the interview process, may create an employment contract between Animal Rescue Foundation of Louisiana and me. If an employment relationship is established, I understand that I have the right to terminate my employment at any time, with or without notice and with or without cause, and that Animal Rescue Foundation of Louisiana retains a similar right.
3. I hereby attest under penalty of perjury that I am authorized to work in the United States. 4. By signing this application, I affirm that the information given by me in this employment application is accurate and complete; I understand that any falsification will be considered grounds for dismissal.

Applicants Signature *

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Date Time *

MM / DD / YYYY