Job Application

Name(Required)
Address(Required)
(SSN)
Location Applying For:(Required)
Part Time or Full Time?(Required)
Can you work weekends? Split Days Off?(Required)
Can you work swing and or graveyard shifts?(Required)
Are you active or retired miltary?(Required)
Are you authorized to work in the U.S. ?(Required)
Are you a Citizen of the United States?(Required)
Have you ever been convicted or, pled guilty or not contest to a crime?(Required)
PLEASE NOTE: A conviction will not necessarily bar you from employment.
Have you ever worked for this company before?(Required)
If no, have you ever applied for this company?(Required)
Do you know anyone currently employed with us?(Required)

PROFESSIONAL REFRENCES

Please list three professional references. (Not Relatives)
Name of first reference:
Name of second reference:
Name of third reference:

EDUCATION

Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?

PREVIOUS EMPLOYMENT

Please list your most recent employers first.
Your most recent employer.
May we contact this employer?
Please provide a brief description of your duties and responsibilities while employed here.
Your second most recent employer.
May we contact this employer?
Please provide a brief description of your duties and responsibilities while employed here.
Your third most recent employer.
May we contact this employer?
Please provide a brief description of your duties and responsibilities while employed here.

QUESTIONNAIRE

Max. file size: 30 MB.
PDF files are preferred.

DISCLAIMER - PLEASE READ

I hereby declare that the information provided by me in this application for employment is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts on this application is grounds for dismissal. I authorize the investigation of all statements contained in this application and release all parties and persons from any liability for any damages that may result from furnishing such information to the Humane Society, as well as from the use or disclosure of such information by the Humane Society or any of its agents, employees, or representatives. In consideration of employment, I understand that I am free to terminate my employment with the Humane Society at any time, with or without reason, and that the Society has the right to terminate my employment at any time, with or without reason. Although the Humane Society may choose to terminate employment for cause, cause is not required. This is known as “at-will” employment. No one other than the Executive Director has the authority to enter into an agreement for employment for a specified period of time, or to make any agreement or representation contrary to this policy. Furthermore, any such agreement must be in writing and signed by the Executive Director. Apart from the policy of at-will employment and those policies required by law, the Humane Society may change its policies or practices at any time without further notice. I also understand that all offers of employment are conditioned upon the provision of satisfactory proof of an applicant’s identity and legal authority to work in the United States, verification of previous employment, and the satisfactory completion of a post-offer criminal background check and drug test.
Did you read the disclaimer above?(Required)

SIGNATURE

If you agree to the disclaimer above please type out your full name.