Application Form

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We are always considering applications from qualified people!

We are currently seeking qualified applicants for the following positions:

Sales Consultant in Fish & Reptiles Or Warehouse Service Representative

Our Pet Consultants work with customers in matching the right pet with their needs and suggesting the supplies needed to be successful.

Do you have an energetic "Can-Do" attitude?

Do you enjoy greeting and talking with customers?

Do you enjoy selling? Presenting products and explaining the benefits?

Do you want your personal effort and achievement to determine how much you earn?

Are you a self-motivated person, able to stay productive with little supervision?

Are you reliable?

Do you prefer a structured working environment?

and Do you love animals?

If you answered 'Yes' to these questions- this is the job for you! Simply print & fill out the application below and drop it off at the store. Or come in and fill out one.

We prefer people with selling, customer service and pet, farm, garden or equine experience, but we do provide training.

If you enjoy animals and sales, this is the job for you.

For any of the above positions, pick up application in-store. Or print out the application below and bring it in. We will set up interviews with promising applicants.

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* Farmland Pets Application *

We are an equal opportunity employer dedicated to a policy of non-discrimination in employment on

any basis prohibited by law.

I. PERSONAL INFORMATION:

_____________________

Social Security No.

__________________________________________________________________________

Last Name First Middle Initial

__________________________________________________________________________

Home Address City State Zip Home Phone Cell Phone

______________ ___________________ ______________________________

Home Phone Cell Phone Emergency Contact & Phone #

Are you 16 or older? Yes No If not, Birth Date_________

Are You a U.S. Citizen? Yes___ No___ Green Card? ____

Are you currently on probation/parole? Yes___ No___

Have you ever been convicted of a felony? Yes___ No___

Are you involved in school sports? Yes___ No___

EMPLOYMENT DESIRED

Position_____________ Full or Part-Time?______________ Date You can Start________________

Total Hours You Can work Each week (Min. is 20)_________

You will be expected to work store open holidays if scheduled.

Farmland is closed both Christmas & New Years. You will be expected to work all other holidays if scheduled.

Leave & Vacation Time: You must make special arrangements 30 days in advance.

To the left of each day, check the shifts you could be scheduled for. If scheduled, you must work Saturday and/or Sunday.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

9:00-3:00p

9:00-3:00

9:00-3:00p

8:30-5:00

10:30-5:00

2:30-7:00p

11:00-6:00

12:00-5:00

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.

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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:______________