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Employment Application
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About Us
Employment Application
Looking to apply for a position at Rochester Pet & Country Store?
Fill out the application below or click here to download the pdf version to drop off in person!
Step 1 of 4
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Personal Info
Name
*
First
Middle
Last
Present address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at current address?
*
Social Security Number
*
Phone
*
Email
*
If under 18, please list age
Employment Desired
Position applying for
*
Salary desired
*
Days/hours available to work
*
No Preference
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours can you work weekly?
*
When are you available to start work?
*
Employment desired
*
Full-time only
Part-time only
Full or part-time
Can you work nights?
*
Yes
No
Education
Please add all forms of education you have received starting at the high school level.
High School Name
Location
Years Completed
Major & Degree
College Name
Location
Years Completed
Major & Degree
Business or Trade School Name
Location
Years Completed
Major & Degree
Porfessional or Graduate School Name
Location
Years Completed
Major & Degree
Please describe other training, seminars, coursework, etc. that applies to the job.
Work Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
Name of Employer
Phone
Name of last supervisor
Your last job title
Employment start date
Date Format: MM slash DD slash YYYY
Employment end date
Date Format: MM slash DD slash YYYY
Start pay or salary
End pay or salary
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Reason for leaving (be specific)
Name of Employer
Phone
Name of last supervisor
Your last job title
Employment start date
Date Format: MM slash DD slash YYYY
Employment end date
Date Format: MM slash DD slash YYYY
Start pay or salary
End pay or salary
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Reason for leaving (be specific)
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Did you complete this application yourself?
Yes
No
If not, who did?
Have you ever been in the armed forces?
Yes
No
Specialty
Date Entered
Date Discharged