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.