Job Application Job Application Name First Last Email Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneIf hired, can you furnish proof you are eligible to work in the U.S.?YesNoAre you at least 18 years of age or older?YesNoWork PreferencesWhat position are you applying for? Store Manager Assistant Store Manager Customer Sales Specialist Pet Stylist/Groomer Pet Bather Services Scheduling Inventory Assistant (Warehouse) Which store location(s) are you interested in working in? Dublin New Albany Polaris Upper Arlington Hilliard Lewis Center Type of employment desired (check all that apply) Full-time Part-time Temporary If hired, when would you be able to start work?Right awayNext weekNext monthWhat hours would you like to work? (list available hours for each day, i.e. "Mon-4-8, Tue-8-5", etc.)DayHours Are you able to lift 50lbs comfortably?YesNoPrevious Work Experience andEducationHave you ever applied for employment with use before?YesNoWhat is the highest level of education you have received?Still attending High SchoolHigh SchoolCollege DegreeMasters or Higher DegreeTrade School or other formal training programEmployersMost Recent EmployersEmployer NameCity, StatePosition HeldEmployer phoneStart DateDate FinishedSupervisor nameReason for leaving Please list specific duties, tasks performed at your previous positions. Be sure to list anything that might be useful in a role within our company.Additional Stuff We Should Know About YouWhat do you like about pets?What do you like about dealing with people?You should hire me because...Untitled* I hereby authorize Mutts & Co. LLC to thoroughly investigate my background, references, employment record adn other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contactted by Mutts & Co. LLC to provide any relevant information regarding my current and or previous employment and I release all persons, schools, employeers of any and all coaims for providving suc information. I understand that misrepresentation or omissions of facts may result in rejections of ofthis application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Mutts & Co. LLC. I understand that nothing contained in this application, or conveyd during any interview which may be gratned, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Mutts & Co. LLC to hire me. I undestand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Mutts & Co. LLC at any time without prior notice for any reason. All of the information I have supplied in this is a true and complete statement of the facts and, if employed, I agree that any false statement, misrepresentation or omission may result in my immediate dismissal. I further authorize you to contact all of my previous employers, educational institutions and references for full information regarding my employment history and for other information pertinent to my application. This iframe contains the logic required to handle Ajax powered Gravity Forms.