PetSupermarket
 

Application For Employment

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The Civil Rights Act of 1994 prohibits discrimination in employment because of race, religion, or national origin. Public Law 90-202 prohibits discrimination because of age. Pet Supermarket is an Equal Opportunity Employer. Pet Supermarket does not discriminate in employment and no question on this application will be for the purpose of limiting or excluding any applicant's consideration for employment on any basis prohibited by local, state or federal law.


Employment Objective Why do you wish to work for Pet Supermarket?



Have you previously worked for Pet Supermarket? (Enter most recent dates of employment and location.)
Have you previously worked for Pet Supermarket? (Enter most recent dates of employment and location.)

Were you referred by an employee? (Name & Store#)

Are you related to any of our employees? (Employee name)
Applicant

Applicant Information

Are you 18 years of age or older? Are you 18 years of age or older?


Criminal Record

ARE YOU AWAITING TRAIL OR AS AN ADULT, HAVE YOU BEEN CONVICTED OF A CRIME OR PLED GUILTY TO A CRIME (OTHER THAN A MINOR TRAFFIC VIOLATION) RESULTING IN A CONVICTION, WHICH CONVICTION HAS NOT BEEN ANNULLED, ERASED, EXPUNGED, VACATED, SET ASIDE, OR SEALED BY THE COURT? YOUR ANSWER WILL BE VERIFIED AGAINST LOCAL, STATE AND FEDERAL RECORDS AS PERMITTED BY LAW. ANSWERING "YES" WILL NOT NECESSARILY DISQUALIFY AN APPLICANT FOR EMPLOYMENT. THIS INFORMATION WILL BE USED ONLY FOR JOB RELATED PURPOSES AND ONLY TO THE EXTENT PERMITTED AND APPLICABLE BY LAW. ALL FACTORS WILL BE CONSIDERED, INCLUDING THE NATURE OF THE OFFENSE, THE SEVERITY, AND THE DATE OF THE OFFENSE IN RELATION TO YOUR SUITABILITY FOR THE POSITION FOR WHICH YOU HAVE APPLIED. IF YOUR ANSWER IS "YES", PLEASE EXPLAIN THE CIRCUMSTANCES SURROUNDING SUCH OFFENSE.


GEORGIA APPLICANTS ONLY: Applicant need not disclose any conviction that is considered a first offender discharge under ' 42-8-63 of the Georgia Code, which covers first offenses for which you received only probation

Criminal Record
Stores

Application to the following stores

Search Results:

Availability

Please list all hours you are available for work

I'm available to work:
Please list all hours you are available for work, I'm available to work:

(Please use 24 hour format. E.g. 8am = 800, 1pm = 1300, 8pm = 2000)

Any = Available to work during any hours. N/A = Not Available for work.

Monday Monday
From
To
Tuesday Tuesday
City
City
Wednesday Wednesday
from
to
Thursday Thursday
from
to
Friday Friday
to
to
Saturday Saturday
from
to
Sunday Sunday
from
to

Desired Salary (do not leave blank)

$
Salary Type
Skills

Essential Job Functions

PET SUPERMARKET RETAIL AND WAREHOUSE LOCATIONS REQUIRE THE ABILITY TO PERFORM THE FOLLOWING ESSENTIAL JOB FUNCTIONS. (CHECK ALL OF THE FOLLOWING YOU COULD PERFORM, GIVEN REASONABLE ACCOMODATION)

Lift/Carry 50 lbs
   Lift/Carry 50 lbs
Stand for extended periods of time
   Stand for extended periods of time
Climb Ladders
   Climb Ladders
Bend and Squat
   Bend and Squat
Reach over your head
   Reach over your head

List any special qualifications for this position


List any pet related experience

Employment History

Employment History most recent first

1.

city
state
to
supervisor-title
name
contact-info
job-title
job-duties
reason
Dates of Employment
Dates of Employment
to-month-year
contact-employer
$


Salary Type
$


Salary Type

2.

company
city
state
country
supervisor-title
name
contact-info
job-title
job-duties
reason
Dates of Employment
Dates of Employment
to-month-year
contact-emp
$


Salary Type
$


Salary Type

3.

company
city
state
country
supervisor
name
contact-info
job-title
job-duties
reason-leaving
Dates of Employment
Dates of Employment
to-month-year
contact-emp
$


Salary Type
$


Salary Type
Education

Education

high-school
location
Did you graduate? Did you graduate?
No Yes GED

location
graduate
Yes
degree

location
location
Yes
degree
Signature

Drug Policy, Certification, Authorization and Signature

I have read and understand!
California Applicants Only!
I have read and understand!

I have read and understand!

I have read and understand!

I have read and understand!

I have read and understand!

Signature

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