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PAWS of Dearborn County Employment Application Form
* Indicates required question
Full Name:
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Your answer
Address:
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Your answer
Phone Number:
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Your answer
Email Address:
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Your answer
Date of Birth:
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MM
/
DD
/
YYYY
Are you a U.S. Citizen?
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Yes
No
Are You Available To Work Evenings, Weekends, and Holidays?
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Yes
No
Have You Even Been Convicted of a Felony?
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Yes
No
If you answered yes to being convicted of a felony, please explain.
Your answer
Which position are you applying for?
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Kennel Technician
Grooming
Enrichment
Date you can start?
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MM
/
DD
/
YYYY
What is your desired wage?
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Your answer
Have you worked here before?
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Yes
No
Have you applied here before?
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Yes
No
Last Year/Grade of High School Completed:
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Your answer
Last Year of College/Grad School Completed:
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Your answer
What did you study in college if you attended?
Your answer
Are you currently enrolled in school?
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Yes
No
If yes, name of school:
Your answer
Please list any relevant skills or qualifications:
Your answer
Please list your current employer, position, wage, start date, and reason for leaving:
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Your answer
May we contact them? If yes, please share a phone number and email address:
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Your answer
Please list your previous employer, position, wage, start date, and reason for leaving:
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Your answer
May we contact them? If yes, please share a phone number and email address:
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Your answer
Share any reference (up to three) you wish include. Please include their name, relationship to you, years acquainted, their phone number, and email.
*
Your answer
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