Employment Application FormYour Full Name *You must be age 21 or older for this position. Please check YES to affirm that your are. *YESYour Email *Phone *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweDate Available To Start *Weekdays You're Available. Check All That Apply *MondayTuesdayWednesdayThursdayFridaySaturdaySundayAre you able to work swing shifts and/or overnight shifts? YesNoDo you have a valid driver's license? (during an interview, you will be required to show it) *YesNoHave You Ever Been Convicted Of A Felony? *YesNoIf YES, Please Explain: Previous Employer #1: Name *Previous Employer #1: Location *Dates you worked for Previous Employer #1 *Reason for leaving Previous Employer #1 *Previous Employer #1: Supervisor Name *Previous Employer #1: Supervisor Telephone Number *May we call Previous Employer #1 Supervisor? *YesNoPrevious Employer #2: Name *Previous Employer #2: Location *Dates you worked for Previous Employer #2 *Reason for leaving Previous Employer #2 *Previous Employer #2: Supervisor Name *Previous Employer #2: Supervisor Telephone Number *May we call Previous Employer #2 Supervisor? *YesNoReference #1: Name *Reference #1: Telephone Number *How long have you known Reference #1? *Reference #2: Name *Reference #2: Telephone Number *How long have you known Reference #2? *I understand that, during an interview, I will be required to provide my Social Security number and present a valid Driver's License *Yes - I understandI authorize Purrfurred Pet Sitters to investigate my background and employment history. *YesNoI understand that I will be required to submit to a drug test as part of my employment, and that I can be tested at any time during my employment. *Yes - I understandI understand that any false or misleading information may lead to my dismissal. *Yes - I understandOptional Comments and/or Information: Click the button below to upload your resume (NOTE: We will want a resume)<br />Accepted file types: txt, pdf, PDF, doc * VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
