Employment Application

Applicant Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Have you previously been employed by us?*
- Yes
- No
What position(s) are you applying for?*
- Animal Care, Cattery
- Animal Care, Kennel
- Customer Service
What is your desired hourly pay?*
Are you over the age of 18?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If yes, please explain:*

Professional References
Please do not list any family members.
Reference Number 1*
First Last
Email*
Phone*
Number of Years Known*
Reference Number 2*
First Last
Email*
Phone*
Number of Years Known*
Reference Number 3
First Last
Email
Phone
Numbers of Years Known
All applicants are required to provide proof of identity and legal work authorization prior to hire. Please note that we conduct background checks and by submitting your application, you are agreeing to this. By submitting this form, you acknowledge that you have read and understand the duties of the job you are applying for. By submitting this form I certify that the statements I have made are true and correct to the best of my knowledge. I understand that the submission of any false information or the omission of any requested information in connection with my application for employment, whether on this document or not, may be cause for failure to hire or for immediate discharge should I be employed by the Humane Society for Hamilton County. I agree to the terms and conditions set by The Humane Society for Hamilton County.
I agree to the terms and conditions set forth by the Humane Society for Hamilton County.*
- I Agree

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