General Information

Name
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Address
Are you legally authorized to work in the United States?
Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-1B)?
(If hired, verification will be required consistent with federal law.)
Are you at least 18 years old?
(If no, you may be required to provide authorization to work.)

Position Information

Applying for:

Education

Include School name and location, highest grade completed and course of study or major if applicable.
Include School name and location, highest grade completed and course of study or major if applicable.
Include School name and location, highest grade completed and course of study or major if applicable.
Include School name and location, highest grade completed and course of study or major if applicable.
Include School name and location, highest grade completed and course of study or major if applicable.

Background Information

During the past seven years, have you ever been discharged, suspended or asked to resign from any position?
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the organizations you have listed?

Personal References

List three professional references (other than those listed as current/former supervisor) that we may contact. For each include their name, telephone number, email address and type of acquaintance.

Employment Record

List all employment experience for the past seven years, starting with the most recent or present employer, including US Military Service. Using a separate section for each position, describe in detail all work experience including periods of unemployment. You may include as part of your employment history any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information.
May we contact?
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Have you worked for any Pet retail store before?
Have you signed or otherwise agreed to any non-solicitation, non-competition or other similar agreement with any prior employer?

Additional Comments

PLEASE READ CAREFULLY AND CHECK EACH PARAGRAPH BEFORE SIGNING

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record, credit history, and other matters related to my suitability for employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check.
I hereby certify that the information given by me is true in all respects. I authorize Puppy Boutique, and its representatives to contact my prior employers and all others (with the exception of my current employer, only if I have marked “May we contact?” on this application as “No”) for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested.
I understand employment with Puppy Boutique, is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
I hereby certify that, if employed, my employment with Puppy Boutique, will not conflict with, or result in the violation of, breach of, or default under, any contract, agreement or understanding that I am a party to or am bound by, other than those I have disclosed in this application, if any.
I hereby certify that, if employed, my employment with Puppy Boutique, will not violate any non-solicitation, non-competition or other similar covenant or agreement I have with any of my prior employers, other than those I have disclosed in this application, if any.
I hereby certify that, if employed, I will report to my supervisor, a representative of HR or other member of management, if I am ever harassed by someone in the company or if I ever become aware of any unethical behavior by any employee.
I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (Puppy Boutique, or me) without prior notice to the other, unless otherwise prohibited by law.
I understand that no representation, whether oral or written, by any representative or agent of Puppy Boutique, at any time, can constitute an implied or express contract of employment. I further understand no representative or agent of Puppy Boutique, has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed by the Director of Human Resources or an authorized representative.
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