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Employment Application Form

EQUAL OPPORTUNITY STATEMENT Central Bark is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, sex, national origin, age, disability, citizenship, or marital status. Required field!
TITLE OF POSITION APPLYING FOR Required field!
POSITION APPLYING FOR: (check all that apply) Required field!
AVAILABILITY & WAGE REQUIREMENT Required field!
Start Date Required field!
Wage Requirement Required field!
Dependability is a critical part of your ability to be successful here. Do you have an emergency plan in case your regular transportation isn’t available? Required field!
PERSONAL INFORMATION Required field!
First Name Required field!
Last Name Required field!
Street Address Required field!
Address Line 2 Required field!
City Required field!
State / Province / Region Required field!
Postal / Zip Code Required field!
Country Required field!
Daytime Phone ###-###-### Required field!
Evening Phone ###-###-### Required field!
Email Required field!
Best time to contact? Required field!
Washington State Driver's License Number Required field!
Are you under 18 years of age? Required field!
Can you stand on your feet, lift, and bend for extended periods of time? Required field!
Can you, with or without reasonable accommodation, perform the essential functions of the job? Required field!
EDUCATION Required field!
High School name, city, state Required field!
Years attended Required field!
Did you graduate? Required field!
College School name, city, state Required field!
Years attended? Required field!
Did you graduate? Required field!
CANINE EXPERIENCE Required field!
Do you own a dog? If yes, what kind? Required field!
Any formal training experience? Required field!
How have you corrected a dog that misbehaved? Required field!
Please describe your experience, knowledge, or studies of animals. Required field!
EMPLOYMENT HISTORY List your last three employers, starting with the most recent. Required field!
Employer Name Required field!
Employer contact phone number Required field!
Job title Required field!
Start and end dates Required field!
Reason for leaving Required field!
Wage Required field!
Description of work Required field!
Required field!
Employer name Required field!
Employer contact phone number Required field!
Job title Required field!
Start and end dates Required field!
Reason for leaving Required field!
Wage Required field!
Description of work Required field!
Required field!
Employer name Required field!
Employer contact phone number Required field!
Job title Required field!
Start and end dates Required field!
Reason for leaving Required field!
Wage Required field!
Description of work Required field!
REFERENCES Give names of people you have known at least 1 year, and are not related to. Required field!
Name Required field!
Relationship Required field!
Address Required field!
Phone Number ###-###-### Required field!
Required field!
Name Required field!
Relationship Required field!
Address Required field!
Phone Number ###-###-### Required field!
Required field!
Name Required field!
Relationship Required field!
Address Required field!
Phone Number ###-###-### Required field!
Required field!
I certify that all the information provided in this application, together with any other information that I may provide during the course of my consideration for employment, is true and accurate to the best of my knowledge. I understand that if employed, any falsified or intentionally omitted information, etc. on this application may be grounds for termination. Required field!
Signature (type full name) Required field!
Date Required field!

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