Camp Bow Wow® Employee Application
Name: _______________________________
Date: _________________
Address: ___________________________________________________________
Home Phone: ______________________
Cell Phone: __________________
Email: ________________________________
Social Security Number: ________________
Emergency Contact:____________________________________________________________
Name
Relationship
Phone
The Certified Camp Counselor® position includes cleaning, dog
caretaking and customer service.
What experience do you have with cleaning or customer service? Which is your strongest area?
What qualities do you possess that would make you an asset to our team?
Availability
Camp Bow Wow® is open 365 days a year—including weekends and holidays—to care for our
furry friends. Please indicate the days and hours you’re available:
No Pref _______
Mon __________
Tue __________
Wed _________
Thur ________
Fri __________
Sat _________
Sun ________
How many hours per week are you interested in working?
When are you available to start?
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Do you have a driver’s license?
_____Yes
_____ No
What is your means of transportation to work? ________________________
Car make and model: _____________________
License plate #: ___________
Driver’s license number ____________________ State of issue: ___________
Expiration date: __________________
Education
School
Years
Completed
Field of Study
Diploma/Degree
High School
College/University
Business/Technical
Other education, experience or certifications (especially relating to animals):
____________________________________________________________________________
Computer expertise
In which software programs are you proficient?
How strong are your grammar skills?
How strong are your typing skills?
Have you ever been convicted of a crime?
____ Yes
____ No
If so, explain conviction(s), date of offense(s), sentence(s) imposed and rehabilitation.
_______________________________________________________________________________
_______________________________________________________________________________
*Please note that a previous criminal conviction will NOT automatically disqualify a Camp Bow
Wow® applicant from employment consideration.
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Employment History
Employer
Phone
Supervisor
May we contact this
employer?
Position
Pay or Salary
Employment Dates
Reason for leaving
Start:
From:
Final:
To:
Employer
Phone
Supervisor
May we contact this
employer?
Position
Pay or Salary
Employment Dates
Reason for leaving
Start:
From:
Final:
To:
Employer
Phone
Supervisor
May we contact this
employer?
Position
Pay or Salary
Employment Dates
Reason for leaving
Start:
From:
Final:
To:
Duties:
Duties:
Duties:
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Experience with dogs
Describe your experience with dogs in your lifetime. How have you disciplined/trained them?
Have you ever dealt with a dog with an injury or medical emergency? How did you handle it?
Have you ever been in a situation with an aggressive or fearful dog? How did you respond?
Can you safely and effectively perform/handle typical aspects of this job (cleaning, standing for
long periods of time, loud noises, lifting up to 40 pounds, picking up dog waste, etc.) either with
or without reasonable accommodation?
What else should we know about you?
Guarantee of Provided Information
I certify that I have not purposely withheld any information that might adversely affect my
chances for hiring. I attest to the fact that the answers given by me are true and correct to the
best of my knowledge and ability. I understand that any omission (including any misstatement)
of material fact on this application or on any document used to secure can be grounds for
rejection of application or, if I am employed by this company, terms for my immediate expulsion
from the company.
I understand that if I am employed, my employment is not definite and can be terminated at any
time either with or without prior notice, and by either me or the company.
I permit the company to examine my references, record of employment, education record and
any other information I have provided. In addition, I release the company, my former employers
and all other persons, corporations, partnerships and associations from any and all claims,
demands or liabilities arising out of or in any way related to such examination or revelation.
___________________________________
Signature
________________
Date
Thank you for taking the time to apply to a position at
Camp Bow Wow® Concord!
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