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CONTACT INFO

Name E-mail

Address

City, State, Zip

Phone number

How did you hear about us?

For which position are you applying?

For which location are you applying?

Which days can you work? Click HERE for our OPERATING HOURS!

What hours can you work? Click HERE for our OPERATING HOURS!

BACKGROUND AND TRAINING

Are you authorized to work in the US?:

Yes No

Highest education level completed:

Some High School High School Some College College Trade School

If still in High School, how many years have you completed

Name of School (High School or College)

Briefly describe your college training:

List any additional skills relevant to the job for which you are applying:

Do you have a valid driver's license?:

Yes No

Have you ever been convicted of a felony?:

Yes No

If "yes," please explain:

EMPLOYMENT HISTORY

List, in order, each employer for the past five years (most recent first).

Employer:
Position Held:
Job Duties:
Address:
City, State, Zip:
Phone Number:
Reason for Leaving:
Started Working Stopped Working

Employer:
Position Held:
Job Duties:
Address:
City, State, Zip:
Phone Number:
Reason for Leaving:
Started Working Stopped Working

Employer:
Position Held:
Job Duties:
Address:
City, State, Zip:
Phone Number:
Reason for Leaving:
Started Working Stopped Working

List any additional employers you have had (provide name, dates, duties, contact info):

May we contact your present or former employers? Yes No

If not, which one(s):

LEGAL

I, the undersigned understand and agree that (please check each line):

I acknowledge that under company procedure a routine inquiry may be made to provide information on my character, general reputation, personal characteristics, and mode of living. More information about the nature and scope of such an inquiry, if one is made, will be provided upon written request.

I understand that employers for whom I have worked in the past may be requested to furnish THAT DIRTY DOG, INC. information concerning my past employment or activities and I hereby release such employers from my liability in connection therewith.

I understand that any false statement, omission or misrepresentation made in connection with my past record or any other part of my application for employment with THAT DIRTY DOG, INC. will be justification, should I be employed, for my dismissal regardless of when such fact may be discovered.

Indemnification. By signing this application (in the form of typing your name in the box below), Applicant hereby indemnifies and agrees to hold THAT DIRTY DOG, INC. harmless for any costs, lost profits, damages and/or expenses (including without limitation, attorneys fees) incurred by THAT DIRTY DOG, INC. at any time as a result of actions, disputes or controversies in which THAT DIRTY DOG, INC. becomes a party, which arise out of any non-compete, trade secret, and/or confidentiality agreements and/or duties, whether express or implied by employment law or otherwise, that Applicant has in relation to third parties, including current or previous employers. Applicant acknowledges and agrees that by considering Applicant’s application, or, if it occurs, by hiring Applicant that THAT DIRTY DOG, INC. has provided sufficient consideration to Applicant to support the grant of this indemnification.

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of THAT DIRTY DOG, INC., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and THAT DIRTY DOG, INC. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

SIGNATURE

To Sign, type full name:
Date:


Thanks so much for applying to join our team! While we cannot correspond with all applicants, we will review all applications submitted. Should we decide to move to the next step, you will receive an email or phone call based on the information you supplied. Thanks again, and have a terrific day!