Franchises 595 104 693 816 Application Form
Application Form
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age sex, religion, disability, medical condition, national origin, or marital status.
Office Location
Select Office Location
-- Select Office --
Phoenix Office
Gold Canyon
Personal Information
First Name
*
Last Name
*
Social Security Number
*
Home Phone
*
Work Phone
Mobile Phone
Email
*
Address 1
*
Address 2
City
*
State
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Military Personnel - America
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Zip
*
Driver's License Number
*
--
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AB
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PE
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SK
YT
Section 1 -
General Information
How did you hear about us?
(required)
Are you legally eligible to work in the United States? (Proof of eligibility is required)
(required)
Yes
No
Applicants considered for hire will be subject to a thorough background screening process that includes a criminal background check, and may include a credit check, motor vehicle check and drug screen. Please check 'Yes
(required)
Yes
No
Do you have a valid driver's license?
(required)
Yes
No
Do you have your own vehicle with current auto insurance?
(required)
Yes
No
If no to either of the above 2 questions, please explain
Section 2 -
Availability
Are you available for 12 hour shifts?
(required)
Yes
No
What are the max hours you are available to work per week?
(required)
(Numeric Answer Only)
Are you interested in working 24-hour shifts?
(required)
Yes
No
What weekend options are you available for?
(required)
-- Select an Option --
Saturdays only
Sundays only
Every weekend
Every other weekend (both Sat and Sun)
Once a month (both Sat and Sun)
Section 3 -
Educational Background
Type of School (High School/GED/College)
Name/City
How Many Years Attended
-- Select an Option --
1
2
3
4
Graduated
Yes
No
Course or Major
Type of School (High School/GED/College)
Name/City
How Many Years Attended
-- Select an Option --
1
2
3
4
Graduated
Yes
No
Course or Major
Section 4 -
1st Most Recent Employer
Employer:
Address:
City:
State:
Zip Code:
Start Date:
End Date:
Hours Worked:
-- Select an Option --
Full Time
Part Time
Temporary
Position/Title:
Job Responsibilities
Supervisor's Name/Title:
Supervisor's Phone:
Reason for Leaving:
May we contact?
Yes
No
Hourly Rate Starting:
Hourly Rate Ending:
Section 5 -
3rd Most Recent Employer
Employer:
Address:
City:
State:
Zip Code:
Start Date:
End Date:
Hours Worked:
-- Select an Option --
Full Time
Part Time
Temporary
Position/Title:
Job Responsibilities:
Supervisor's Name/Title:
Supervisor's Phone:
Reason for Leaving:
May we contact?
Yes
No
Hourly Rate Starting:
Hourly Rate Ending:
Section 6 -
Reference 1 (Professional)
Name:
(required)
Telephone:
(required)
Years Known:
(required)
Relationship:
(required)
Section 7 -
Reference 2 (Professional)
Name:
(required)
Telephone:
(required)
Years Known:
(required)
Relationship:
(required)
Section 8 -
Reference 3 (Professional)
Name:
(required)
Telephone:
(required)
Years Known:
(required)
Relationship:
(required)
Section 9 -
Client Matching Preferences
OK working in a home with cats
(required)
Yes
No
OK working in a home with medium/large dogs?
(required)
Yes
No
OK working in a home with small dogs?
(required)
Yes
No
OK working in a home where the client smokes? (indoor/outdoors)
(required)
Yes
No
Section 10 -
Preferred Client Locations
West Valley (Surprise, Sun City, Sun City West, Avondale, Peoria, Glendale)
(required)
Yes
No
Central Phoenix (Phoenix, South Phoenix, Ahwatukee)
(required)
Yes
No
North Phoenix (Scottsdale/Paradise Valley)
(required)
Yes
No
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Signature
(required)
Submit Application
