Join Our Mission - Your Pet Space

Application For Employment

Your Pet Space (YPS) is an equal opportunity employer. Candidates are considered without regard to race, age, religion, national origin, political or union membership, marital status, sexual orientation or gender. Physical or mental handicaps will be considered only as they relate to bona fide job requirements.

Please Complete All Pages
Date*
MM slash DD slash YYYY
Name*
First Last
Phone Number*

Please enter your Phone Number with Area Code
E-mail*
Address*
Street Address Address Line 2 City State ZIP Code
Position Applying For*
Date You Can Start*
MM slash DD slash YYYY
You Desire*
max hours You Can Work*
YPS is staffed 24 hours a day, seven days a week. Are there any hours/days you cannot work? If so, please list
Pay requirements?
Do you expect to be absent any time in the next 6 mos? If so, when?
Are you able to fulfill the essential functions of your position with YPS with or without accommodation?*
If no, please explain
Do you have any commitment to another employer or school that might affect your employment at YPS? If so, explain
Are you a High School Graduate?*
PRIOR WORK HISTORY
List in order, beginning with your most recent or present employer. If you do not want us to contact your present employer, please indicate this.
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
Date Started
MM slash DD slash YYYY
Date Left
MM slash DD slash YYYY
Pay Rate
Responsibilities
Reason for Leaving
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
Date Started
MM slash DD slash YYYY
Date Left
MM slash DD slash YYYY
Pay Rate
Responsibilities
Reason for Leaving
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
Date Started
MM slash DD slash YYYY
Date Left
MM slash DD slash YYYY
Pay Rate
Responsibilities
Reason for Leaving
REFERENCES
Please provide two employment and one personal reference below. (These will be called).
Name
First Last
Phone
Relationship (co-worker, friend, relative)
Name
First Last
Phone
Relationship (co-worker, friend, relative)
Name
First Last
Phone
Relationship (co-worker, friend, relative)
Driver's License Number*
State of Issue*
Exp Date*
MM slash DD slash YYYY
Accidents or moving violations in the past 3 years?
If yes, how many?
What personal or pet experiences or skills qualify you to work for Your Pet Space?
How does working at Your Pet Space fit into your goals for the future, career or personal?
DO YOU… (circle one answer for each)
Like cats?
Fear dog bites?
Fear any animals?
Mind lifting pets?
Have pet related allergies?
Keep your tetanus shot updated?
Have a weak stomach?
Have you ever been convicted of, or entered into a plea of guilty, no contest or had a withheld judgement to a felony or have you ever had to register as a sex offender?
If yes, please provide date, place and nature of the offense. (Note that an affirmative answer will not automatically disqualify you from being considered for employment).
By signing below, I authorize Your Pet Space, Inc. to check my criminal convictions records.
Applicant Authorization Name (Signature)
First Middle Last
If hired, could you show evidence of your right to work in the US?
The information provided on this application (and resume if any) is true and complete to the best of my knowledge. I understand that falsified information or significant omission may disqualify me from further consideration and maybe considered justification for dismissal if discovered at a later date.

Employment at Will: I understand that Your Pet Space, Inc. and its designated employees have at all times the right to terminate the employment relationship.
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Application For Employment

Please Complete All Pages

PRIOR WORK HISTORY

REFERENCES

DO YOU… (circle one answer for each)