Employment Application

 Personal Information:


 A conviction of a crime will not automatically bar you from employment.

 Education Information:

 High School


 Vocational or other


 General Information:


Please list 3 references not related to you and whom you have known at least one year.

 Reference 1:

 Reference 2:

 Reference 3:

 Employment History:

 List the most recent employer first.

 Employer 1:

 Employer 2:

 Employer 3:

 In case of Emergency notify:

 I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at that time.

  In consideration of my employment, I agree to conform to the Humane Society's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause and with or without notice at any time at either my or the Humane Society's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice at any time by the Humane Society.