Application

196 South Spring Valley McMurray, PA 15317 Phone: 724-941-DOGS (3647) FAX 724.941.9595

APPLICATION FOR EMPLOYMENT

DATE:

S.S.#

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, gender, religion or national origin. The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age but less than 70. TITLE 1 employment provisions of the AMERICANS WITH DISABILITIES ACT of 1990 prohibits discrimination against qualified individuals with disabilities in job application procedures.

PERSONAL INFORMATION

Home

REQUIRED FIELDS

Vacation Special Activities

FULL NAME:

STREET:

CITY:

STATE:

ZIP:

PHONE:

E-mail Address:

Cell Phone Number:

Rates, Day Care Policies and Health Requirements

Map to Delucas

Menu

Stylings

Employment

ARE YOU LEGALLY ELIGIBLE FOR WORK IN THE UNITED STATES?:

Application

ARE YOU 18 YEARS OR OLDER?:

Training

Reservations

POSITION APPLIED FOR:

REFERRED BY:

Guest Book

EVER APPLIED TO THIS COMPANY BEFORE?:

IF YES, WHEN:

Picture Page

WOULD YOU PREFER TO WORK:

DATE AVAILABLE:

Cattery

DOES YOUR PRESENT EMPLOYER KNOW OF YOUR PLANS TO CHANGE EMPLOYMENT?:

Please feel free to

E-mail us.

MAY WE CONTACT THE EMPLOYERS LISTED BELOW?:

IF NOT, INDICATE WHICH ONE(S) YOU DO NOT WISH US TO CONTACT:

PLEASE LIST ANY ADDITIONAL INFORMATION THAT RELATES TO YOUR ABILITY TO PEFORM THE JOB FOR WHICH YOU HAVE APPLIED, SUCH AS SPECIAL TRAINING,

MACHINE OPERATIONS, HOBBIES, LANGUAGES, ETC.

U.S. ARMED FORCES:

IF YES, BRANCH:

RANK AT DISCHARGE:

HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE PAST 7 YEARS?:

IF YES, PLEASE EXPLAIN

(CONVICTION WILL NOT NECESSARILY DISQUALIFY APPLICANT FOR EMPLOYMENT)

EDUCATION

NAME AND LOCATION OF SCHOOL

YEARS ATTENDED

GRADUATED

COURSE OR MAJOR

HIGH SCHOOL:

GRAMMAR SCHOOL:

COLLEGE:

TRADE,BUSINESS OR: CORRESPONDENCE: SCHOOL:

FORMER EMPLOYERS AND CONTACT INFORMATION.

(LIST BELOW LAST EMPLOYER.)

EMPLOYER NAME ADDRESS

DATES EMPLOYED

DUTIES

FROM

TELEPHONE NUMBER(S)

HOURLY RATE/SALARY

STARTING

FINAL

JOB TITLE

SUPERVISOR

REASON FOR LEAVING

REFERENCES

NAME:

STREET:

CITY:

STATE:

ZIP:

BUSINESS:

PHONE:

YEARS AQUAINTED:

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME.

THIS EMPLOYMENT FORM WAS DESIGNED TO COMPLY WITH FEDERAL AND STAT EMPLOYMENT LAWS GOVERNING DISCRIMINATION IN EMPLOYMENT. THIS APPLICATION FORM IS MADE FOR GENERAL USE AND DISTRIBUTION IN THE UNITED STATES, AND THE MANUFACTURER CANNOT ASSUME RESPONSIBILITY FOR THE INCLUSION IN THIS FORM OF ANY QUESTIONS BY THE EMPLOYER WHICH MAY BE AT VARIANCE WITH APPLICABLE LOCAL, STATE OR FEDERAL LAWS.

Please allow a few seconds for the form to be sent thank you.

DeLuca's Canine Country Club 724-941-3647
196 So Spring Valley Rd. McMurray, PA 15317
Fax 724-941-9595

For faster service deluca@k9-countryclub.com

Web k9-countryclub.com

Site Design & Hosting by DE

Check Mail