Application

First Name
Last Name
Home Address
Apt. #
City
State
Zip Code
Email address
Home Telephone
Work Telephone
Cell Phone
Facebook URL
Are you eligible to work in the US?
Do you have any felony offenses?
If Yes, please explain:
Do you have any credit offenses?
If Yes, please explain:
Do you have any criminal offenses?
If Yes, please explain:
Do you have any driving offenses?
If Yes, please explain:
Do you own an insured car?
Availability (check all that apply):







Can you walk at least one mile per day?
Can you handle two dogs at a time?
Do you have experience with large dogs?
Do you have experience with small dogs?
Do you have experience caring for cats?
Can you give a pill to a dog or cat?
Can you give an insulin injection?
Tell us about how great your pets are!
Relevant pet care experience:
What is your favorite breed? Why?
Why do you want to work for us?
Name of Employer/Company:
Name of Supervisor:
Supervisor telephone
What was your position/title?
Dates of Employment:
Reason for leaving:
May we call supervisor for a reference?
If no, please state why:
Name of Employer/Company:
Name of Supervisor:
Supervisor telephone
What was your position/title?
Dates of Employment:
Reason for leaving:
May we call supervisor for a reference?
If no, please state why:
Name
Telephone
Relationship
Name
Telephone
Relationship
Name
Telephone
Relationship
How did you hear about The Barking Lot?