Employment Application

Name & Location of Institution *

Degree Received *

Minor *

Do you expect to complete an educational program in the near future? Please indicate what type of degree or program and the expected completion date: *

Hours Complete *

Major or Specialty *

Dates Attended *

Work Experience:

Starting with your most recent experience, describe ALL paid, military, and applicable volunteer experience. Highlight your knowledge, skills, and abilities which best demonstrate your qualifications for this position.

Job Title *

Type of Business *

Job Duties *

Select One: *

Full-Time Part-Time

Hours per week: *

Employer *

Employment Date(s) *

Business Phone Number *

Immediate Supervisor *

Supervisor's Title *

Did you supervise other employees? *

Yes No

Additional Animal Care Experience:

References:

Availability:

Prior to employment, under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification (I-9) verifying that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be considered for employment.

Certification
By submitting this application, I hereby certify that all entries on this application are true and complete. I agree and understand that any misleading or falsification of information herein, regardless of time of discovery, is sufficient grounds for rejection from the examination or interview process, removal from the list of eligible candidates from employment, withdrawal of an offer of employment, or immediate discharge from the Humane Society of Southwest Missouri. I understand that all information on this application is subject to verification, and I consent to criminal history background checks. I also consent to references, former employers, and educational institutions listed being contacted regarding this application. I further authorize the Humane Society of Southwest Missouri to rely upon and use, as it deems necessary, any information received from such contacts.

Employment Opportunities

Application for Employment

Education:

Work Experience:

Additional Animal Care Experience:

References:

Availability:

Humane Society of Southwest Missouri