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Store Operator Employment Application

APPLICANT INFORMATION
Date
Last Name
First Name
M.I.
Street Address
Apartment/Unit#
City
State                                          Zip
Phone
E-mail Address
Are you a citizen of the United States?         Yes   No ->If no, are you authorized to work in the U.S.?   Yes   No
Have you ever been convicted of a felony?   Yes   No ->If yes, explain
EDUCATION
High School
Address
From                                             To
Did you graduate?
Yes   No 		Major
College
Address
From                                             To
Did you graduate?
Yes   No 		Degree
Other
Address
From                                             To
Did you graduate?
Yes   No 		Degree
Veterinary/Medical
Address
From                                             To
Did you graduate?
Yes   No 		Degree
EMPLOYMENT HISTORY
Company
Address
Responsibilities
Company
Address
Responsibilities
Company
Address
Responsibilities
EXPERIENCE

Have you worked or volunteered at any of the following:

  A pet store, farm store, or pet food and supply store?Yes  No Company
  An animal shelter or adoption center?Yes  No Company
  A veterinary or medical clinic or hospital?Yes  No Company
  A groomer?Yes  No Company
  Do you have pets?Yes  No Kind & Number

INDUSTRY KNOWLEDGE

::Are you informed about pet food ingredients to the extent that some ingredients are harmful, causative of allergies, odors, and other maladies, or are simply not beneficial to the animal?

Yes  No

::Are you informed about pet food and pet food ingredients to the extent that some formulations can solve problems such as recurring ear infections, skin allergies, hyperactivity, excess weight, shedding, and odors?

Yes  No

::Are you informed about pet food and pet food ingredients to the extent that some formulations can prevent serious illnesses such as urinary issues, cancer, and heart disease?

Yes  No

::Are you willing to learn about both beneficial and harmful ingredients and their purposes in pet food, treats, supplements, topical sprays, and environmental sprays?

Yes  No

::Are you willing to learn brand formulations, nutritional analyses, and benefits of products as relates to specific issues?

Yes  No

::Are you willing to learn breed specific health issues and how diet can prevent, alleviate, or relieve?

Yes  No

::Are you willing to continually keep abreast of news, breakthroughs, and trends regarding nutrition, supplements, manufacturing processes, and other timely information about pet wellness and comfort?

Yes  No

PLEDGE FOR ADDITIONAL INFORMATION
::If contacted for an interview, I am prepared to provide previous employment details, including length of employment, supervisor name, and salary/wage information. Yes  No
::If contacted for an interview, I am prepared to provide additional personal identity information such as my birth date, Social Security number, and Driver's License number. Yes  No
::If contacted for an interview, I am prepared to provide three personal, academic, or professional references. Yes  No
CERTIFICATION OF INFORMATION
  I understand that I am providing limited information to Pets 1st, Inc. to initiate communication regarding employment. The information collected in this online form is being e-mailed to Pets 1st, Inc., and I give consent for the information to be transmitted to Pets 1st, Inc. via unencrypted electronic mail.
  I certify that the information provided in this online application is true and complete. If this application leads to employment, I understand that false or misleading information in my application or interview may result in termination of my employment.
Content is property of Pets 1st, Inc., Copyright 2009-2012
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