Employment Form

1. Employer Information
Employer: Y Bark Alone, LLC
Address: 10390 Watson Rd
City/State/ZIP: Sunset Hills, Missouri 63127
Telephone: (314) 821-8500
It is the policy of Y Bark Alone, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
2. Applicant Information









3. Emergency Contact
Who should be contacted if you are involved in an emergency?























THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
16. Applicant's Skills
Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)
Skill
Years of Experience
Ability or Rating (1-5)
Typing
Microsoft Office Suite (Word, Excel, etc.)
Accounting/Bookkeeping
Answering telephones
Customer service
Communication
Teamwork
Supervise, Monitor
17. Applicant Employment History
List your current or most recent employment first.

















18. Applicant's Education and Training







19. References
List any two people who would be willing to provide a reference for you.










CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Y Bark Alone, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Y Bark Alone, LLC, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.



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