Employment Application Kennel Caregiver Employment Application Name* First Last Application Date* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Enter Email Confirm Email Date Available*If your application receives favorable consideration, when will you be available to begin work? Date Format: MM slash DD slash YYYY Position: Kennel CaregiverWage assigned: $8.00/hr to start; $8.50/hr. after 90 daysAre you a U.S. citizen?*YesNoIf "No," are you authorized to work in the U.S.?YesNoHave you ever worked for DVGRR?*YesNoIf "Yes," date of last employment: YYYY MM DD Have you ever been convicted of a felony?*YesNoIf yes, please explain?EducationHigh School:*Address:From (enter year): YYYY MM DD To (enter year): YYYY MM DD Did you graduate?*YesNoCollege:Address:From (enter year): YYYY MM DD To (enter year): YYYY MM DD Did you graduate?YesNoDegree:ReferencesPlease list at least two professional references.Reference #1: Name/Relationship*Please include name and relationship to you (e.g. manager, supervisor, colleague, etc.).Company/Organization:*PhoneAddress:Reference #2: Name/Relationship*Please include name and relationship to you (e.g. manager, supervisor, colleague, etc.).Company/Organization:*PhoneAddress:Previous Employment (Most recent)We will contact all of the employers listed on this application unless you specifically exclude them as indicted with reason for excluding them.Company*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneSupervisor:*Job Title:*See below to include description of responsibilities.Ending Wage (per hour):*Starting Date:* MM DD YYYY Ending Date:* MM DD YYYY May we contact this employer for a refences?*YesNoIf no, please use the space provided below to explain.Please use this space to describe your job responsibilities and, if applicable, your reason for leaving and/or reason for us not to contact this employer.*CompanyAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneSupervisor:Job Title:(See below to include description of job responsibilities.)Ending Wage (per hour):Starting Date: MM DD YYYY Ending Date: MM DD YYYY May we contact this employer for a refences?YesNoIf no, please use the space provided below to explain.Please use this space to describe your job responsibilities and, if applicable, your reason for leaving and/or reason for us not to contact this employer.Military Sevice (if applicable)Branch:Starting Date: MM DD YYYY Ending Date: MM DD YYYY Rank upon discharge:Type of Discharge:If other than honorable, please explain:Miscellaneous InformationYou will receive continuous training from our Certified Trainer and Kennel Manager in behavior and positive reinforcement training. Because we will invest a great deal of time and resources, we want you to be aware that this is a long-term position.How we you referred to DVGRR or how did you learn about this position?*What experience do you have working with dogs?*Please share any additional information that may help us in assessing your suitability for this position:Disclaimer and SignatureDVGRR is an equal opportunity employer dedicated to a policy of nondiscrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief or disability that does not prohibit performance of essential job functions. I agree that if DVGRR finds that any of the information I have provided in this application is inaccurate, misleading or incomplete in any respect, I will be disqualified for employment, or if I have already been hired, my employment may be terminated immediately. I authorize DVGRR or its representatives to contact all former employers and personal references, except as noted above, and to further inquire as to any information given by me on this application. I have read and understand the foregoing and am seeking employment with DVGRR under the terms herein. I certify and declare that all of the information I have given is true, correct and complete.I Understand:* DVGRR STRONGLY ENCOURAGES ALL EMPLOYEES AND VOLUNTEERS TO HAVE A CURRENT TETANUS BOOSTER. THAT THIS POSITION REQUIRES DAY, EVENING, WEEKEND AND HOLIDAY SHIFTS. DVGRR PERFORMS DRUG TESTING PRIOR TO EMPLOYMENT. Digital Signature:*I understand that entering my name as a digital signature indicates my understanding of all contents and terms/conditions of this form.Date* Date Format: MM slash DD slash YYYY CAPTCHA
