Employment Application

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 open position are you applying for?*

Be sure to enter the exact job title you are applying for.

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:*

Availability

Please select the days of the week you are able to work.*

Select All
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

When would you be able to start?*

Are you currently employed?*

Yes
No

If so, may we contact your current employer?*

Yes
No

Which type of employment are you seeking?*

Select All
Full Time
Part Time

Employment History

Please begin with your most recent employer.

Please upload a copy of your resume.

Is this your current employer?*

Yes
No

Employer Number 1*

Supervisor Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Start Date*

End Date*

Position*

Duties

Reason for Leaving

Employer Number 2*

Supervisor Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Start Date*

End Date*

Position*

Duties

Reason for Leaving

Employer Number 3*

Supervisor Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone

Start Date*

End Date*

Position*

Duties

Reason for Leaving

Education History

Name of High School*

Did you graduate?*

Yes
No

Did you attend a college or university?*

Yes
No

Name of College or University.*

Did you graduate?*

Yes
No

Type of Degree Earned*

Certificate
Associates
Bachelor
Masters

Have you attended any trade, business, or online school?*

Yes
No

Please describe.*

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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