Please fill out the application below as completely as possible. If you have a resume you would like to submit with your application, you may do so at the end. Once you submit your application, a copy will automatically be sent to the email you provide for your records. If you do not see your copy of the application in your inbox right away, please check the junk/spam folder.

General Information

Your Name*

Today's Date*

Your Email*

Telephone Number*

Alternate Number

Position Desired*

Minimum Salary*

How did you learn about us?*

Have you ever applied here before?*
YesNo

Employment Eligibility

Are you a citizen of the United States?*
YesNo

Do you have a legal right to work in the United States?*
YesNo

Are you 16 years of age or older?*
YesNo

If not, please specify age:

Have you ever been convicted of a felony?*
YesNo

Do you speak or read any language(s) besides English?*
YesNo

If yes, which language(s)?

Background testing is an employment requirement. I understand that if I am offered a position, a background test will be required.
Drug-Free Screening is an employment requirement. I understand that if I am offered a position, drug screening will be required prior to my employment.

Please check that you agree to the above statements:*
I Agree

Education: High School

Name of School

City/State

High School Diploma/GED

Education: College/University

Name of School

City/State

Degree/Major

Education: Graduate School

Name of School

City/State

Degree/Major

Education: Trade School

Name of School

City/State

Degree/Major

Employment History

Employer Name

Address

Employment Dates

Position/Job Duties

Reason For Leaving

Wage/Salary

Employer Name

Address

Employment Dates

Position/Job Duties

Reason For Leaving

Wage/Salary

Employer Name

Address

Employment Dates

Position/Job Duties

Reason For Leaving

Wage/Salary

Is any information relative to change in name, use of an assumed name, maiden name, or nickname necessary to check your work record or background information?*
YesNo

If yes, please provide other names

Do you authorize us to contact your previous and present employer for reference prior to employment with this business?*
YesNo

Is there anything else you would like us to know about you?

If you would like to upload a resume, you may do so here:

Applicant's Affidavit

I certify that the information contained in this application is correct to the best of my knowledge. I authorize investigation of all matters contained in this application and agree that any misleading or false statements would be cause for rejection of this application or would be sufficient cause for dismissal after employment begins. I understand that employment is contingent upon the receipt of negative drug screening results, background check, and satisfactory work references by Eco Deco Pet Hospital. I further understand that my continued employment will be based on my satisfactory performance and the satisfactory completion of the Benefits Waiting period of employment.

Checking the box below signifies that you have read and agree to the above "Applicant's Affidavit"*
I Agree

By typing my name, I am providing an electronic signature certifying that all the above information is correct*