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Indigo Sitters Employment Application Form: Personal Details

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Employment Application Name: ____________________

IndiGo Sitters
EMPLOYMENT APPLICATION FORM
Personal Details:
Name:
Date:
Address:
How long at this address:
Social Security Number:
Home Telephone:
Cell Phone:
Birthdate:
Email Address:

YBFF Job / Availability Details:


Position applying for:
Days available to work (Circle): Mon Tues Wed Thurs Fri Sat Sun
Do you have a preference for days off:
Hours Available (Circle): 6:00am – 1:00pm 2:00pm – 8:00pm
9:00am – 4:00pm
Are you available to work holidays?
When are you available to start work:

Education:
Name of Location Number of Years Major / Degree
School Completed
High School:

College:

Professional
School:

Criminal Background:
Have you ever been convicted of a crime? (Circle) Yes No
If yes, explain number of conviction, nature of offense leading to conviction, how
recently such offense was committed, sentence imposed, and type of rehabilitation:

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Employment Application Name: ____________________

Driving Record:
Do you have a Driver’s License? (Circle) Yes No
Driver’s License Number:
State of Issue:
Expiration Date:
Do you have a reliable car? (Circle) Yes No
Automobile Plate Number:
Have you had any accidents in the past two
years, and if so how many?
Have you had any moving violations in the
past two years, and if so how many?

References:
Please list two references other than relatives or previous employers:
Reference 1
Name:
Position:
Company:
Address:
Telephone:
Reference 2
Name:
Position:
Company:
Address:
Telephone:

Work Experience:
Please list your work experience for the past three years beginning with your most recent
job held. Please attach a Resume also.
Work Experience 1
Name of Employer:
Address:
Phone:
Name of Supervisor:
Your last Job Title:
Dates of Employment: From: To:
Ending Pay or Salary:
Reason for Leaving:
List the jobs you held, duties performed, skills used or learned, advancements or
promotions while you worked at this company:

May we contact this employer? (Circle) Yes No

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Employment Application Name: ____________________

Work Experience (continued):


Work Experience 2
Name of Employer:
Address:
Phone:
Name of Supervisor:
Your last Job Title:
Dates of Employment: From: To:
Ending Pay or Salary:
Reason for Leaving:
List the jobs you held, duties performed, skills used or learned, advancements or
promotions while you worked at this company:

May we contact this employer? (Circle) Yes No

Work Experience 3
Name of Employer:
Address:
Phone:
Name of Supervisor:
Your last Job Title:
Dates of Employment: From: To:
Ending Pay or Salary:
Reason for Leaving:
List the jobs you held, duties performed, skills used or learned, advancements or
promotions while you worked at this company:

May we contact this employer? (Circle) Yes No

Further Information:
Why did you apply for this position?

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Employment Application Name: ____________________

Further Information (continued):


Please explain why you feel you would be a good candidate for the position you are
applying for:

What personal and professional experience have you had with pets?

Are there any pets you would prefer not to care for?

Are you comfortable administering medications? (Circle) Yes No


What is the most important thing you are looking for in this job?

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