YOU MUST FILL OUT EVERY BLANK IN ORDER FOR YOUR APPLICATION TO BE SENT TO OUR EMPLOYMENT DEPARTMENT. IF YOU LEAVE A BLANK EMPTY YOU WILL NOT BE CONSIDERED FOR THIS POSITION. IF THE BLANK DOES NOT APPLY TO YOU THEN PLEASE PLACE N/A IN THE BOX TO REPRESENT THE PHRASE "NOT APPLICABLE". THANK YOU

Entire Name:

E-Mail Address:

Full Address:

Home Phone Number:

Cell Phone Number:

Minimum Salary Desired:

List Hours of Availability:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Date of Birth:

Are you looking for a full time or part time position?:
Full Time
Part Time

Minimum & Maximum Hours Desired?:

Position Desired?:

Have you applied with Outer Loop, Repets, or The Humane Society Before?:
Yes
No

If Yes, When?:

Do you have family or friends working at Outer Loop, RePets, or the Humane Society?:
Yes
No

If Yes, Who?:

Do you have any animal allergies?:

Are there any animals you don't like or are scared of?:

Which ones and why?:

Describe any knowledge you have to help with educating the public on pet care.:

How many animals do you currently own?:

Please give names, ages, breeds, and how long you have had them.:

List the animals you have had in the past, and what happen that you don't have them anymore?:

How many of your animals are spayed or neutered?:

If all your animals are not spay/neutered please explain why.:

Why do you want to work with rescued animals?:

List the animals YOU can NOT care for and why.:

Who is your vet?:

May we call for a reference?:

How do you feel about Pit Bulls?:

When working with rescued dogs there is sometimes a risk of getting bit, What would you do to prevent getting bit?:

What would you do if some of our shelter dogs started to fight?:

What would you do if a cat scratched you?:

Can you give shots and oral medicine to dogs and cats?:

How do you feel about spaying or neutering?:

Does animal blood, feces or vomit make you sick or faint?:

Have you adopted from the Humane Society before?:

If yes what and when?:

We try to pull a lot of animals from shelters to help them get adopted. Would you feel more comfortable with cleaning and care for the animals, or just playing with them?:

Do you have Computer and Internet skills?:

Do you know what an animal rescue is?:
Yes
No

If Yes, What is your definition of an animal rescue?:

We require a police background check before employment. Have you ever been convicted of a felony or a misdemeanor? (conviction for a criminal offense will not necessarily disqualify an applicant from employment):
Yes
No

If Yes, State the nature of the offense:

How many times did you call in not able to work a given shift in the past 3 years?:

Why were you absent from work?:

Please give some specific examples of why you will be asking to be off from work:

How many hours a week are you willing to volunteer for the Humane society and RePets?

Do you consider yourself to be patient with animals?:
Yes
No

If yes, please give an example:

Have you ever received written reprimands?:
Yes
No

If Yes, Why did you receive the written reprimands?:

Have you ever been dismissed from employment?:
Yes
No

If Yes, Why were you dismissed from employment?:

Are you available to work during all holidays?:
Yes
No

Are you available to work New Years Eve?:
Yes
No

Are you available to work New Years Day?:
Yes
No

Are you available to work Easter?:
Yes
No

Are you available to work ALL Spring Break?:
Yes
No

Are you available to work Mother's Day?:
Yes
No

Are you available to work Father's Day?:
Yes
No

Are you available to work Halloween?:
Yes
No

Are you available to work Thanksgiving Day?:
Yes
No

Are you available to work The Day After Thanksgiving?:
Yes
No

Are you available to work Christmas Eve?:
Yes
No

Are you available to work Christmas Day?:
Yes
No

Are you available to work EVERY DAY of November and December?:
Yes
No

What would be a reason you could not care for the animals during November and December?:

Occasionally we get a call about an animal that needs rescuing immediately. Do you mind being on call with NO notice to go and pick up an animals local or up to 2 hours away??:
Yes
No

Do you need smoke breaks?:
Yes
No

If Yes, How often?:

Are you currently a student?:
Yes
No

Do you plan to enroll next semester?:
Yes
No

How many hours are you taking this semester?:

How many hours are you taking next semester?:

Do you live in the dorms?:
Yes
No

Do you leave Bowling Green when WKU lets out?:
Yes
No

What skills qualify you for this position?:

Why do you want to work for RePets?:

How do you feel about animal euthanasia?:

How often do you volunteer at the BGWC Humane Society? (or, if you volunteer at another animal shelter/welfare organization thats fine, please specify though):

Can you drive a extended cargo van?:

Can you take dogs/cats home with you to foster till they are ready for adoption?:
Yes
No

If Yes, what animals are you qualified to care for?:

IF NO, give the reason why:

100% of the processes goes towards helping us rescue, vet and re home shelter animals. We have to have an outgoing employee that can suggest product and sell it to fund our rescue. EVERY penny helps us save lives and it takes a lot of money to save a lot of lives. Do you have sales experience? :

Yes
No

If yes, please explain:

Previous Employment

Previous Employment #1
Employer:	Dates of Employment:
Phone Number:	Position Held:
Address:	Reason for Leaving:
Starting Pay:
Final Pay:	May we contact this employer?: Yes No

Previous Employment #2
Employer:	Dates of Employment:
Phone Number:	Position Held:
Address:	Reason for Leaving:
Starting Pay:
Final Pay:	May we contact this employer?: Yes No

Previous Employment #3
Employer:	Dates of Employment:
Phone Number:	Position Held:
Address:	Reason for Leaving:
Starting Pay:
Final Pay:	May we contact this employer?: Yes No

What Assets Would You Bring To This Company?:

IF YOU ARE SERIOUS ABOUT WORKING FOR RePets OR ANY OF ITS SUBSIDIARIES, YOU SHOULD UNDERSTAND THIS IS NOT A LAID BACK WORK PLACE. EMPLOYEES ARE EXPECTED TO MAKE SALES GOALS, KEEP THE STORE PRESENTABLE, PUT OUT SHIPMENT, RESTOCK, KEEP STORE, BACK ROOM, AND RESTROOMS CLEAN, AND GIVE 110% CUSTOMER SERVICE. WE DON'T ALLOW TARDIES, OR NO SHOWS. IF GIVEN A SHIFT, YOU MUST WORK IT OR GET IT COVERED. RePets HAS A ZERO TOLERANCE POLICY. IF YOU THINK YOU FIT THE RePets IMAGE AND YOU FEEL THAT YOU COULD BECOME A VALUABLE ASSET TO OUR ORGANIZATION, THEN YOU MAY SUMBIT THIS FORM.

BY INITIALING & CLICKING THE SUBMIT APPLICATION BUTTON I HEREBY AUTHORIZE OUTER LOOP, REPETS, AND ANY SUBSIDIARIES TO INVESTIGATE ALL STATEMENTS CONTAINED IN THIS APPLICATION. I CERTIFY THAT ALL INFORMATION ON THIS APPLICATION IS TRUE OR CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I FURTHER UNDERTAND THAT ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION OF ANY KIND ON THIS APPLICATION OR SUPPLEMENT FORM ARE SUFFICENT CAUSE FOR REJECTION OF MY APPLICATION OR DISMISSAL IF HIRED. IF I AM HIRED I UNDERSTAND THAT MY INTIAL AND CONTINUED EMPLOYMENT IS CONDITIONING UPON BEING ABLE TO SATISFACTORY PERFORM THE ESSENTIAL FUNCTION OF THE JOB IN WHICH I AM PLACED, WITH OR WITHOUT REASONABLE ACCOMMODATION. I UNDERSTAND THAT REFUSAL OF A DRUG TEST AS ANY TIME DURING EMPLOYMENT WILL SUBJECT ME TO TERMINATION. I CERTIFY BY MY SIGNATURE THAT I HAVE READ, UNDERSTAND AND AGREE WITH THE ABOVE.

Initial Here: