Employment Application

How did you learn about us?
Are you a United States Citizen?
If no, are you lawfully authorized to work in the United States?
Do you have a reliable method of getting to work?
Do you have a clean driving record?

EMPLOYMENT HISTORY: Start with your present or most recent job. Include any job-related military service assignments, self-employment, summer and part-time jobs. 

Company 1
Company 2
Company 3
Company 4
If you are now employed, may we contact your present employer?

REFERENCES: (not former employers or relatives)

EDUCATION:

High School
Last Year Completed
Did You Graduate?
College
Last Year Completed
Did You Graduate?
Other Education
Last Year Completed
Did You Graduate?

INTERESTS: Use this space below to describe interest in humane work and skills and aptitudes that you feel qualify you for a position with our company. (You may wish to include civic and community activities, professional societies in which you participate, hobbies, sports, special training or skills such as typing, accounting, and the like.)

ACKNOWLEDGEMENT  Please Read Before Signing:

The facts set forth in my application for employment are true and complete. I understand that if employed, false or misleading statements on this application shall be considered immediate cause for dismissal. In making this application for employment I authorize you to investigate and/or make a report regarding my background which may include consumer’s reports, information regarding criminal convictions, motor vehicle violations, educational history and information regarding my previous employment. This inquiry, if made, may include information as to my character, general reputation, personal characteristics, and mode of living. This inquiry, if made, also may include information concerning any and all employment discrimination claims and/or accusations brought against me, including, but not limited to, charges and/or accusations brought against me that relate to harassment and/or discrimination involving race, sex, age, religion, disability, and/or national origin.

I understand that driving is an essential part of most jobs at Capital Humane Society and that the ability of Capital Humane Society to obtain insurance for me under their present and future chosen policies will have a bearing on whether or not I am employed by Capital Humane Society. I also understand that changes in my driving record while employed at Capital Humane Society may have a bearing on my continued employment. I authorize Capital Humane Society or its agents to check my driving record as part of this application process and at any time during my employment.

I UNDERSTAND THAT, IF THE COMPANY EMPLOYES ME, EITHER THE COMPANY OR I CAN TERMINATE MY EMPLOYMENT WITH OR WITHOUT CAUSE AT ANY TIME AND FOR ANY OR NO REASON.

*Please type name*
No file selected
No file selected

*WE ARE AN AT-WILL, EQUAL OPPORTUNITY EMPLOYER*