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Flea Bag’s Barkery and Bow-tique

Application For Employment

Name: ______________________________  SSN: ____________________

Address: ______________________________________________________

Phone Number: ________________               Birth Date: _______________

Highest Level of Education Completed:  ____________________________

Availability, Including School Schedule: ____________________________

_____________________________________________________________

_____________________________________________________________

Have You Ever Been Convicted of a Felony: yes / no (circle)

If Yes, Please Explain: __________________________________________

Employment History:

Current or Last Job Title: ________________________________________

Employer: ___________________________Phone Number: ____________

Supervisor: ______________________ Reason for Leaving: ____________

Previous Job Title: ______________________________________________

Employer: ___________________________ Phone Number: ____________

Supervisor: ______________________ Reason for Leaving: ____________

Previous Job Title: ______________________________________________

Employer: ___________________________ Phone Number: ____________

Supervisor: ______________________ Reason for Leaving: ____________

Do You Have Any Pets: yes / no (circle)

If Yes, Please Explain: __________________________________________

References:

Name: ______________________ Phone: ________ Time Known: ______

Name: ______________________ Phone: ________ Time Known: ______

Please Sign and Date Here: _______________________________________

Flea Bag’s, LLC is an equal opportunity employer.  By signing this application, you (the applicant) are giving Flea Bag’s, LLC the right to conduct a background investigation and/or contact any previous employers, if deemed necessary.  We appreciate your interest in employment with out business.  Thank you.