III. EDUCATION:Circle Last Grade Completed: High School: 9, 10, 11, 12 College: 1 2 3 4
A. High School
Name of High School_____________ City & State_____________________
Your Grade Point Ave:________ Average days absent per year? __________
Your Favorite class_____________ Why?_________________________________________
Your Least Favorite Class ______________ Why?__________________________________
B. College
Name of College:_____________________ City & State ________________________
Your Major______________ Your Grade Point Ave:________ Average days absent per year? _____
Your Favorite class_____________ Why?____________________________________________
Your Least Favorite Class ______________ Why?_____________________________________
IV. ACTIVITIES: List any Clubs, Sports, or Hobbies you’ve been involved with which have given you selling and/or animal skills that would help you at Farmland Pets. (You may exclude racial, religious and nationality groups).
Activity Skills Learned
__________________ __________________________________________________________
__________________ __________________________________________________________
__________________ __________________________________________________________
V. KNOWLEDGE:
Circle the number of the level of experience and knowledge you have with the following. Use this scale: (0): No experience (1): Some limited experience & knowledge (2): Fairly high knowledge & current experience. (3): Extensive Experience & Expert Knowledge.
Sales 0 1 2 3 Warehouse 0 1 2 3 Forklift 0 1 2 3 Farm 0 1 2 3 Garden 0 1 2 3
Pet 0 1 2 3 Aquariums 0 1 2 3 Pond 0 1 2 3 Dogs 0 1 2 3 Horses 0 1 2 3
Poultry 0 1 2 3 Reptiles 0 1 2 3 Rodents 0 1 2 3 Rabbits 0 1 2 3
Ferrets 0 1 2 3 Birds 0 1 2 3 Other? Please List ___________________________________
_______________________________________________________________________________
Freshwater Fish 0 1 2 3 Largest Tank You’ve Owned & fish types_________________________
Saltwater Fish 0 1 2 3 Largest Tank You’ve Owned & Fish Types_________________________
VI. WORK EXPERIENCE: (Please start with your most current position)
A. Company_______________________ City:__________ State:____ Phone: (___) ___________
Kind of Business________________________________ Employed From________ To ________
Your Title_____________________ Salary ________________
Name & Title of Immediate Supervisor:_______________________
Nature of Work:_______________________________________________________________
What did you like most about this job?_______________________________________________
What did you like least?__________________________________________________________
Reason for Leaving:______________________________________________________________
B. Company_______________________ City:__________ State:____ Phone: (___) ___________
Kind of Business________________________________ Employed From_______ To _________
Your Title_____________________ Salary ________________
Name & Title of Immediate Supervisor:_______________________
Nature of Work:_______________________________________________________________
What did you like most about this job?_______________________________________________
What did you like least?__________________________________________________________
Reason for Leaving:______________________________________________________________
C. Company_______________________ City:__________ State:____ Phone: (___) ___________
Kind of Business________________________________ Employed From_______ To ________
Your Title_____________________ Salary ________________
Name & Title of Immediate Supervisor:_______________________
Nature of Work:_______________________________________________________________
What did you like most about this job?_______________________________________________
What did you like least?__________________________________________________________
Reason for Leaving:______________________________________________________________
Indicate by letter __________ any of the above employers you do not wish contacted.
VII. OTHER
How Did You Hear of Job?_____________________________
What Skills Do You Have That You Believe Would Benefit This Store?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
What Steps Would You Take in Working With a Customer?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Signed By _______________________________ DATE:______________
