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Application for Employment

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Applicant Information
First Name: Last Name:
Street Address: City:
State: Zip Code:
Email Address: Phone Number:
Emergency Contact: Emergency Contact Phone:
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Employment Sought
Position: Salary Expectations:
Preferred Store: Preferred Hours:
Are you under 18? If yes, how old are you?
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Availability
Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Hours
Do you have a vacation planned in the near future? If yes, when?
Employees are required to work some holidays. What holidays are you available to work?
Employment History
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Company: Position: Start Date: End Date: Rate of Pay:
Contact: Phone: Reason For Leaving:
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Company: Position: Start Date: End Date: Rate of Pay:
Contact: Phone: Reason For Leaving:
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Company: Position: Start Date: End Date: Rate of Pay:
Contact: Phone: Reason For Leaving:
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Have you ever been convicted of a felony?
Do you have any limitations that might prevent you from doing the job?
If yes, please explain:
What experience and skills do you bring to Downtown Dog Lounge?
Please use the section below to provide any additional information.