Job Application

Personal Data

First Name *

Middle Name

Last Name *

Home Address Street *

Home Address City *

Home Address State *

Home Address Zip *

Home Telephone *

May we leave messages at your Home Telephone number? *

Yes
No

Cell Telephone

May we leave messages at your Cell Telephone number?

Yes
No

Position(s) applying for *

Date available to report to work *

Desired Hourly Salary? *

Seeking Full-Time Work? *

Yes
No

Seeking Part-Time Work? *

Yes
No

Hours per Week Availability? *

All employees are expected to work every other weekend, on holidays and during school breaks. If hired, I understand and agree to this policy. *

Yes
No

Other

Background Information

Have you ever used a different name (excluding maiden name) than the name listed above? *

Yes
No

Please provide all names previously used

If you are under 18 years of age, please specify your age. This information will be used only for child labor law purposes.

Education

Work Experience

Please tell us, in detail, about your previous experience working with/handling dogs and cats and why you feel you would be a good fit for a position at Goldwood Kennels. *

Employment History

1	Employer/Company Name Phone Number Address Position/Title Supervisor Job Title and Duties Start Date End Date Reason for Leaving May we contact this employer? Yes No
1	Employer/Company Name Phone Number Address Position/Title Supervisor Job Title and Duties Start Date End Date Reason for Leaving May we contact this employer? Yes No

Add Work Experience

Have you ever been discharged or asked to resign from employment? *

Yes
No

If yes, please explain.

Professional References

1	Name Title Company Phone Number Professional Relationship
1	Name Title Company Phone Number Professional Relationship

Add Professional Reference

Releases and Applicant's Statement

I certify that the information contained in this application and any attachments is true and correct to the best of my knowledge, and that I have answered each question completely. I consent to having any of the information verified by Goldwood Kennels. I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences as well as claims involving me in the files of insurance companies. I authorize, without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information from Goldwood Kennels and/or any of their agents. This authorization and consent shall be valid in original, fax, electronic or copy form.

Initials *

All hiring and employment at Goldwood Kennels is at will. I understand this application is not an employment contract, nor can be used to create one. Employment by Goldwood Kennels has no specific term and may be terminated by the employee or Goldwood Kennels with or without notice. I acknowledge that Goldwood Kennels has not made any promises or representations that differ from those contained in this paragraph. I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position with Goldwood Kennels, and that failure to provide this evidence will result in the termination of my employment. I release and agree to hold harmless any individual, company, business institution, school or government agency from all liability with regard to furnishing information to Goldwood Kennels. I agree to release and hold harmless Goldwood Kennels from all liability with respect to the receipt of such information. I certify that the information that I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally, electronically or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with Goldwood Kennels may be terminated.

Applicant's Signature *

Date *

Validate Email

Goldwood Kennels, Inc.

Application for Employment

Still have questions?

1	Level High School College/University Technical/GED Name City State Graduated? Yes No Type of Degree Received or Expected Overall GPA Major Minor
1	Level High School College/University Technical/GED Name City State Graduated? Yes No Type of Degree Received or Expected Overall GPA Major Minor