To Applicant: A MANDATORY DRUG SCREEN WILL BE PROVIDED & REQUIRED BY ALL POTENTIAL EMPLOYEES. We appreciate your interest in our company and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and experience will help us in determining the position that best meets your qualifications. Position(s) Applied For: Your Name: Date of Application: Telephone Number(s): Address: Your Email: For which locations woud you like to be considered?Arroyo GrandeAtascaderoCarpinteriaGoletaLompocLos OsosMorro BayNipomoPaso RoblesSan Luis ObispoSanta BarbaraSanta MariaSolvangWarehouse, AG Do you have a valid driver's license? YesNo Have you ever been employed with us before? YesNo If yes, give date Do you have authorization to work in the U.S.? YesNo (Proof of citizenship or authorization will be required upon employment) If under 18, do you have proof of eligibility to work? YesNo Do any of your friends or relatives work here? YesNo If yes, state name / relationship Do you have a reliable means of transportation to and from work? YesNo Can you travel if a job requires it? YesNo Why are you applying for work at Lemos Pet and Feed Supply? Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?YesNo (If no, describe the functions that cannot be performed.) Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? YesNo If yes, state nature of the crime(s), when and where convicted, and disposition of the case.(Note:No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered) Education, Training, and Experience High School Name and Address of school Number of years completed Degree or Diploma Did you graduate?YesNo University Name and Address of school Number of years completed Degree or Diploma Did you graduate?YesNo Vocational/Business Name and Address of school Number of years completed Degree or Diploma Did you graduate?YesNo List any additional Training and/or Education Employment History (List below all present and past employment starting with your most recent employer (last five years is sufficient.) Account for all periods of employment. You must complete this section even if attaching a resume. Employer #1 Dates employed Address Type of Business Hourly Rate/Salary - Starting Hourly Rate/Salary - Final Supervisor Telephone Work Performed Job Title Reason for Leaving May we contact this employer for a reference?YesNo Employer #2 Dates employed Address Type of Business Hourly Rate/Salary - Starting Hourly Rate/Salary - Final Supervisor Telephone Work Performed Job Title Reason for Leaving May we contact this employer for a reference?YesNo References List below three persons not related to you who have knowledge of your work performance within the last three years. Please list: Number of Years Acquainted / First Name & Last Name / Occupation / Phone Number. Applicant's Statement "I certify that the information contained in this application is complete and correct to the best of my knowledge and understand that falsification or misinterpretation of this information is grounds for immediate dismissal in accordance with Lemos Feed & Pet Supply policy. I authorize the references listed above to give you any and all information concerning my previous employment as well as any pertinent information they may have, personal or otherwise, and release all parties from any and all liability for damage that may result from furnishing information to you. I understand that a more detailed investigation concerning my background may also be conducted and I hereby authorize such an investigation. I understand that nothing contained in this employment application is intended to lead or create an employment contract investigation. I understand that nothing contained in this employment application is intended to lead or create an employment contract between Lemos Feed & Pet Supply and myself with would restrict the right of the company to terminate my employment at will. I understand that Lemos Feed & Pet Supply maintains a zero tolerance drug and alcohol abuse policy and I agree to abide by these standards, or face disciplinary action up to and including termination of my employment, I agree to conform to the rules and regulations of Lemos Feed & Pet Supply and my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself." Applicants Signature (type Name) Date of Application Upload a copy of your resume here.