Job Application – Lucky's Bed & Biscuit

Job applications are kept for 30 days

Position Applying for:

At What Capacity?:

Full-Time Part-Time Seasonal Year-Round

If you are under 18 years of age, please specify your age (this information will be used only for child labor law purposes):

Available to work our peak dates?(Holidays & Weekends?)

YES NO

Are there any shifts you will not work?

YES NO

If unable to certain days:

I can work Sundays...

I can work Mondays...

I can work Tuesdays:

I can work Wednesdays:

I can work Thursdays:

I can work Saturdays:

I can work overtime, if required

Yes No

When will you be able to start work?

Have you ever applied or worked for Lucky's Bed & Biscuit?

Yes No

If yes, please provide dates:

How did you learn about Lucky's Bed & Biscuit?

Are you legally authorized to work in the U.S?

Yes No

Are you legally licensed to drive?

Yes No

Graduated High School?

Yes No

Graduated College/University:

Yes No

If no, Degree Credits Earned

Type of Degree Received or Expected:

Grade Point/Overall GPA

Graduated Technical/GED?

Yes No

If no, Degree Credits Earned:

Type of Degree Received or Expected:

Grade Point/Overall GPA

Licenses/Certifications:

Is there anything else that you would like us to know about you?

Do you currently have any pet(s)?

Yes No

If yes, please describe:

Are you willing to clean?

Yes No

Are you able to pick up 50 lbs. or more?

Yes No

Are you able to stand, walk, or sit for long periods of time?

Yes No

Do you have any allergies to pets?

Yes No

Are you able to swim?

Yes No

Are you willing to take pre-employment & random drug testing?

Yes No

Have you ever turned in a pet to the shelter?

Yes No

Have you had a recent Tetanus shot?

Yes No

What is the date of your last Tetanus shot?

Please Include Both Full or Part time as well as any Active Military time, or volunteer work, beginning with the most recent. A separate file may be uploaded instead.

Street Address/City/State/Zip

May we contact?

Yes No

State job titles and describe job duties:

Street Address/City/State/Zip

May we contact?

Yes No

State job titles and describe job duties:

Street Address/City/State/Zip

May we contact?

Yes No

State job titles and describe job duties:

Street Address/City/State/Zip

May we contact?

Yes No

State job titles and describe job duties:

Please explain any gaps in your employment history:

Have you ever been discharged or forced to resign?

Yes No

If yes, please explain:

Did you receive any discipline in your last 12 months of active employment with your previous employer?

Yes No

Were you given a performance evaluation within the last 12 months of active employement?

Yes No

If yes, what was the range of scores used and what was your score?

Have you signed any non-competition or non-solicitation agreement with any other employer that might restrict you from working for the Company (you may be required to furnish a copy of the agreement)?

Yes No

If yes, please explain:

1. Has your license ever been suspended or revoked?

Yes No

If yes, please explain:

2. Do you have any DUI or DWI convictions?

Yes No

If yes, please state when you were convicted and explain:

3. Have you ever been convicted of a felony within the last seven years?

Yes No

If you checked "YES," Please explain below. A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation.

Attach additional sheets here (if necessary)

4. Any animal cruelty charges?

Yes No

5. Have You Served In the Military?

Yes No

Which Branch?: (if any)

Describe any military skills, training or experience you believe are relevant to the job you applied for:

Reference #1 (Name):

Reference # 2 (Name):

Reference #3 (Name):

APPLICANT'S ACKNOWLEDGMENT: I certify that the answers given herein (including, but not limited to the Criminal and Driver Record information Supplement and Commercial Motor Vehicle Driver Supplement if applicable) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to/and authorize the Company to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR THE COMPANY WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE COMPANY. I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT WITH THE COMPANY MAY ONLY BE ALTERED WITH A WRITTEN AUTHORIZATION SIGNED BY THE CHIEF EXECUTIVE OFFICER OF THE COMPANY, AND THAT MY AT-WILL STATUS WITH LUCK'S BED & BISCUIT, LLC. MAY NOT BE ALTERED. I understand that applicants for certain positions may be required to qualify form employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver's examination; submit to a background investigation or take a pre-employment drug test, adn random drug testing. If I am offered employment or start work before any required test is completed, my employment is contingent on a satisfactory results on all required tests. I authorize the Company to release the results of background checks (if any) and my pre-employment drug/alcohol test (if any), any information on this application and any relevant information about me to each other clients for whom I have applied for employment, and release the Company and its clients from any and all claims related to the lawful release of this information. I further authorize the release of any background check results and of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document. By checking the following box, I waive my right to receive copies of public records obtained by the Company.