DOCK DIVING REGISTRATION

Name*

First Last

Email*

Age

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Applying for the position(s) of:*

If hired, what date would you be able to start working?*

Salary Desired

What days can you work?*

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Can you work weekends?*

Yes
No

If not, please explain.

Can you work holidays?*

Yes
No

If not, please explain.

Number of hours desired per week?*

Please give us a brief description of why you are the perfect candidate to join our Bark-A-Bout Team!*

Do you have any special skills and/or training? Please provide any professional or volunteer animal experience you have had in the past, such as: kennel work, dog obedience classes, pet sitting, stable work, etc.

Why do you want to work with dogs / cats?

Animals Owned:

Please provide information about animals you currently owned, or have owned in the past.

Can you identify three behaviors a dog might display when they are "stressed"?*

Yes
No

Please provide three examples of a dog's behavior when stressed:*

Can you identify three behaviors a dog might display when they are "calm"?*

Yes
No

Please provide three examples of a dog's behavior when they are calm:*

Did you graduate High School?*

Yes
No

If not, please explain.

High School Name

What year did you graduate high school?

Did you graduate college?

Yes
No

Name of College

Years Attended

Degree

Are you currently employed elsewhere?

Yes
No

May we contact your current employer?

Yes
No

Can we contact your most recent employers as a reference?

Yes, of course! I was a great employee!
No, this will be my first job.

(Employer #1) Most recent employer company name:

(Employer #1) Address, City, State, Zip:

(Employer #1) Phone Number:

(Employer #1) Salary:

(Employer #1) Supervisor name:

(Employer #1) Dates Worked:

(Employer #1) Reason for leaving?

Can we contact Employer #2 as a reference?

Yes, of course! I was a great employee!

(Employer #2) Recent employer company name:

(Employer #2) Phone Number:

(Employer #2) Address, City, State, Zip:

(Employer #2) Salary:

(Employer #2) Supervisor name:

(Employer #2) Dates Worked:

(Employer #2) Reason for leaving?

Can we contact Employer #3 as a reference?

Yes, of course! I was a great employee!

(Employer #3) Recent employer company name:

(Employer #3) Address, City, State, Zip:

(Employer #3) Phone Number:

(Employer #3) Salary:

(Employer #3) Supervisor name:

(Employer #3) Dates Worked:

(Employer #3) Reason for leaving?

Can we contact Employer #4 as a reference?

Yes, of course! I was a great employee!

(Employer #4) Recent employer company name:

(Employer #4) Address, City, State, Zip:

(Employer #4) Phone Number:

(Employer #4) Salary:

(Employer #4) Supervisor name:

(Employer #4) Dates Worked:

(Employer #4) Reason for leaving?

Do you have a personal reference of someone who is not related to you, whom you have known for at least one year?

Yes
No

Personal Reference #1: Name

First Last

Personal Reference #1: Business Title

Personal Reference #1: Phone

Personal Reference #1: Address

Street Address City State / Province / Region ZIP / Postal Code

Personal Reference #1: How many years have you known this person?

Do you have a Personal Reference #2 of someone who is not related to you, whom you have known for at least one year?

Yes
No

Personal Reference #2: Name

First Last

Personal Reference #2: Business Title

Personal Reference #2: Phone

Personal Reference #2: Address

Street Address City State / Province / Region ZIP / Postal Code

Personal Reference #2: How many years have you known this person?

If you have been convicted of a felony, describe what for:

Can you lift 50 pounds?

Yes
No

Can you stand on your feet, bend and lift for extended periods of time?

Yes
No

Do you have reliable transportation to and from work?

Yes
No

Will you be able to purchase the required company uniform(s)?

Yes
No

Have you ever been convicted of a felony?

Yes
No

Background Check*

I authorize Bark-A-Bout to perform a background check on me which may include a criminal background check.

I have thoroughly read and agree to the following "Terms and Conditions":*

I agree to these "Terms and Conditions"

I certify that the facts that are contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they might have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I further understand that the completion of this application does not assure me of employment and does not obligate your company to me in any way. I authorize Bark-A-Bout to do a background check on me. If I am employed, I knowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I also understand and agree that: Business needs may require as a condition of continued employment that I work different shifts, positions, or overtime. Participation in post-offer and /or post-employment medical screening may be required. If medical restrictions cannot be reasonably accommodated, I may not be hired, or if hired, employment may be terminated.

Thank you for filling out this application! We are excited to meet you soon! Please let us know how you heard about Bark-A-Bout!