JOB APPLICATION PLEASE COMPLETE AND SUBMIT THE FORM Step 1 of 6 16% Personal InformationApplication Date Date Format: MM slash DD slash YYYY Date You Can Start* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email Address* What is your favorite breed of dog and why?*Tell me a story about your favorite pet experience* QualificationsCollege and DegreeGraduated (Year)High SchoolGraduated (Year)Other CertificatesUpload Your ResumeAccepted file types: doc, docx, pdf.Please upload as a .doc or .pdf Employment Desired & AvailabilityPlease select the position you are applying for, your desired pay and your availability times for each day listed belowPosition Applying For*Please select oneRetail Pet SpecialistType of Employment Preferred* Full Time Part Time Desired Pay*MondayFrom a.m. to p.m.TuesdayFrom a.m. to p.m.WednesdayFrom a.m. to p.m.ThursdayFrom a.m. to p.m.FridayFrom a.m. to p.m.SaturdayFrom a.m. to p.m.SundayFrom a.m. to p.m.List any days off you would need over the next 3 months Skills and HistoryList three (3)of your best skills that would aid you in being successful for this position* Please list one (1) skill per line. To add a new line click the + symbol.Current Employer DetailsAre you currently employed? Yes No If so may we contact your employer? Yes No Employer's NameName of supervisor we should speak toSupervisor's Phone NumberSupervisor's Email Address Main Job ResponsibilitiesTell us what you love about this job. Previous Employment DetailsEmployer NameLocationPosition HeldEmployment DatesStart Date to Finish DateMain Job ResponsibilitiesTell us what you loved about this job.Reason for LeavingEmployment Before Last DetailsEmployer NameLocationPosition HeldEmployment DatesStart Date to Finish DateMain ResponsibilitiesTell us what you loved about this job.Reason for Leaving Work ReferencesPlease provide three (3) people who have worked with you in some capacity in the recent past.Reference One: Full Name*Phone Number*Company and Relationship*Reference Two: Full Name*Phone Number*Company and Relationship*Reference Three: Full Name*Phone Number*Company and Relationship*SignatureBy signing below, you acknowledge all information on this employment application is true.Signature*Please sign your name (touch screen enabled)Date Date Format: MM slash DD slash YYYY You will be contacted ONLY if your application is considered for an interview. Please do not follow up on your application submission. 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