Online Application

EMPLOYMENT APP

Online application for prospective employees.

Social Security Number
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Position Applied For:*
Position Type:*
Specify days and hours available if part-time:*
If your application is considered favorable, on what date will you be available to work?
Date Format: MM slash DD slash YYYY
If hired, can you furnish proof you are eligible to work in the United States?*
- YES
- NO
Have you ever been convicted of a felony?*
- YES
- NO
IMPORTANT: For purposes of employment with Churchland K9, “convictions” include sentenced to confinement, paid fine, time served, placed on probation (including deferred adjudication) and court- ordered restitution. A “yes” answer does not automatically disqualify you from employment since the nature of the offense, date, and the job for which you are applying will be considered.
If "Yes", please explain:
Have you previously applied here?
- YES
- NO
May we contact your current employer?
- YES
- NO
Do you have experience in the care of dogs?
- YES
- NO
If "YES", please explain:
PREVIOUS EMPLOYMENT:
Employer
Company Name Address City / State / Zip Telephone:
Type of Business
Phone Number
Supervisor
Date Employed From:
Date Format: MM slash DD slash YYYY
Date Employed To:
Date Format: MM slash DD slash YYYY
Description of Duties:
Employer
Company Name Address City / State / Zip Zip
Type of Business:
Phone
Supervisor
Date Employed From:
Date Format: MM slash DD slash YYYY
Date Employed To:
Date Format: MM slash DD slash YYYY
Description of Duties:
I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or person named above to give any information regarding my employment, character and qualification. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. I understand that there is no express or implied contract of employment and that if employed I have been hired at the will of the employer and that my employment may be terminated at will, at any time; and with or without cause. The employer’s only obligation being to pay salary or wages due and owing at the time of termination. Finally, I understand that all company property must be returned and my indebtedness to the company must be paid before my termination. I authorize the company to deduct from the final paychecks all monies due and owing to the company. I,_________________________, agree to immediately notify Churchland K9 if I am convicted of, receive deferred adjudication in, or otherwise plead guilty or no contest to a felony, or any crime involving dishonesty or a breach of trust, while my application is pending or during my period of employment if hired.
Name
First Last

6029 High St West, Portsmouth, VA 23703
757-686-8207
info@churchlandk9.com

Hours Of Operation

Online Application

EMPLOYMENT APP

PREVIOUS EMPLOYMENT:

6029 High St West, Portsmouth, VA 23703 757-686-8207 info@churchlandk9.com

Hours Of Operation

EMPLOYMENT APP

PREVIOUS EMPLOYMENT:

6029 High St West, Portsmouth, VA 23703
757-686-8207
info@churchlandk9.com