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Job Application
Park Pet Supply Inc.
479-A Flat Shoals Ave. SE, Atlanta Ga 30316
www.ParkPetSupply.com
Store Phone: (404) 588-0140
Attn: Victoria Park
Please Email Resume/Cover Letter to: ParkPetSupply@yahoo.com
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Date: *
Name: *
Phone Number: *
Email: *
Current address: *
Number of years at current address: *
Position applied for: *
Hourly Rate Desired: *
Employment Desired: *
How many hours can you work weekly: *
Days/Hours Available to work: *
When are you available to start work: *
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Education: Please list High School, College, Business or Trade School and any Professional or Graduate Training. Please include any majors or degrees: *
Please describe any other training, seminars or coursework that applies to this job: *
Work Experience 1:  Name of employer, company address, name of supervisor and contact phone number for supervisor: *
Work Experience 1:  Job Title and Employment Dates From: (Month/Year) To: (Month/Year): *
Work Experience 1: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company: *
Work Experience 1: Pay or Salary (Please include start pay and final pay): *
Work Experience 1: Reason for leaving (Be specific): *
Work Experience 2:  Name of employer, company address, name of supervisor and contact phone number for supervisor: *
Work Experience 2:  Job Title and Employment Dates From: (Month/Year) To: (Month/Year): *
Work Experience 2: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company: *
Work Experience 2: Pay or Salary (Please include start pay and final pay): *
Work Experience 2: Reason for leaving (Be specific)If not, please describe the functions or duties you are unable to perform: *
Work Experience 3:  Name of employer, company address, name of supervisor and contact phone number for supervisor: *
Work Experience 3:  Job Title and Employment Dates From: (Month/Year) To: (Month/Year): *
Work Experience 3: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company: *
Work Experience 3: Pay or Salary (Please include start pay and final pay): *
Work Experience 3: Reason for leaving (Be specific): *
Are you currently employed? *
May we contact your present employer? *
Have you ever been convicted of a felony? *
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:
If hired, can you provide proof of U.S. citizenship                                               or proof  of your legal right to live and work in this country? *
Do you have any friends or relatives employed by Park Pet Supply? If yes, please provide their name and relationship:                             *
If hired, would you have a reliable means of transportation to and from work?       *
Are you able to perform the essential functions and duties of the job for which you are applying? *
Can you lift 40 Lbs? *
If "No" to either of the last 2 questions, please describe the functions or duties you are unable to perform:
Reference 1: Please include Name, Company Name (if applicable), Address, Phone Number, Email, Occupation and number of years acquainted: *
Reference 2: Please include Name, Company Name (if applicable), Address, Phone Number, Email, Occupation and number of years acquainted: *
Reference 3: Please include Name, Company Name (if applicable), Address, Phone Number, Email, Occupation and number of years acquainted: *
An application form sometimes makes it difficult for an individual to adequately summarize a complete background.  Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
By typing my name below, I certify to the best of my knowledge that all the information contained in this application is truthful and accurate. Park Pet Supply Inc. is an equal employment opportunity employer.  We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.  We assure you that your opportunity for employment with this Company depends solely on your qualifications.Thank you for completing this application form and for your interest in our business. *
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