Job Application Form

You must complete all sections of the application, and sign. If questions are not applicable enter “NA”. We will consider applicants for all positions, without regard to race, color, religion, natural origin, sex, age, disability, veteran, marital or any other status protected by law.
Job Application
Name
Name
First
Last
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
Are you a student?
Are 16 years or older?
Do you have a drivers license?
Have you ever been convicted of a felony or subjected to a deferred adjudication?
(A positive response will not necessarily disqualify you from being considered for employment)
Are you currently employed?
Available for
Have you ever been discharged or forced to resign from any position?
Do you have any relatives, a spouse, or domestic partner currently working for Fix and Feed?

Education

Did you graduate from High School or receive a GED?
Graduated?
Graduated?
Graduated?
Graduated?

Employment Record:

1. Include ALL employment within the past 10 years. Begin with your most current or last position and work back to your least current. If other employment is pertinent to your qualifications for the position, please list those as well. 2. Specify any other names you may have worked under. 3. Employment records should include each position title, even those with the same employer. 4. Give a brief summary of the technical and, if appropriate, the managerial responsibilities of each position held. 5. For supervisory/managerial positions, indicate the number of employees you supervised.
Worked

Worked

Worked

Worked

References

List three non-related references.

Outside Activities

Employment is at-will. Employment and compensation can be terminated with or without cause or notice, at the option of either the employer or the employee.

Name
Name
First
Last
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