Employment Application URLThis field is for validation purposes and should be left unchanged.Name*Email* Home PhoneCell PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code General InformationPosition applying for (check all that apply) Activity Counselor Caregiver Daycamp Monitor Bather Swimmer Trainer Cleaner Groomer Receptionist If you're interested in a position not listed, please enter it here.Hourly Wage Desired*Please enter a number from 1 to 100.Have you ever applied to Wagsworth before?* Yes No If so, when?Looking for full or part time?* Full time Part time Both Are you looking for Seasonal or Year Round Employment?* Seasonal Year Round Please specify an end date for seasonal employment?* Your Availability to Start?* Immediately Within 2 Weeks Other If other, please provide your available start date*Upcoming Vacations*Availability (Check All That Apply)Morning Monday Tuesday Wednesday Thursday Friday Saturday Sunday Afternoon Monday Tuesday Wednesday Thursday Friday Saturday Sunday Full Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Are you available to work weekends?* Yes No Holidays are required. Are you available?* Yes No Are you currently employed or in school?* Yes No If, employed may we contact your current employer?* Yes No Are you under the age of 18?* Yes No Do you have reliable transportation?* Yes No Do you have a valid Driver's License?* Yes No Are you legally authorized to work in the U. S.?* Yes No Work ExperienceCurrent EmployerStart Date End Date Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneContact PersonCurrent Position/Job TitleCurrent Salary/WageAdditional Experience (If None, Leave Blank)Previous EmployerStart Date End Date Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneContact PersonPosition/Job TitleSalary/WageAdditional Experience (If None, Leave Blank)Previous EmployerStart Date End Date Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneContact PersonPosition/Job TitleSalary/WageEducational HistoryHigh School*Years attended*Graduated?* Yes No CollegeYears attendedGraduated? Yes No College MajorTrade SchoolYears attendedGraduated? Yes No Trade School area of studyAdditional InformationWhy are you interested in a position with Wagsworth Manor Pet Resort?*Animal Experience*Formal Canine Training*Computer Experience*Leadership ExperienceHow did you hear about this employment opportunity?*AuthorizationI certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.Signature