The Adams County Humane Society is an equal opportunity employer. ACHS does not unlawfully discriminate based on race, color, sex, marital status, creed, religion, national origin, disability, sexual orientation, veteran status or any other classification protected by applicable law.

    Please read the instructions for each entry carefully and complete all entries.

    ​​EVERY ENTRY MUST BE COMPLETED OR THIS APPLICATION WILL NOT SUBMIT CORRECTLY! Enter the word NONE if a question does not apply to you. Please message us on our contact form, Facebook, or by email to make sure we received your application.

    Even if you have submitted a resume, ALL sections must be completed.

    It is your responsibility to provide sufficient information on this application to show you meet the minimum qualifications for the job you wish to be considered for. Your application will be ineligible for review if information is omitted or inaccurate.

    Education

    Work Experience

    For each job you list include the following information:

    1. Employer Name
    2. Job Title
    3. Date Hired & Date of Last Day 
    4. Supervisor & Phone Number
    5. Starting Pay & Ending Pay
    6. Number of Hours Worked Each Week
    7. Duties:
    8. Reason for Leaving:

    Professional References

    List the names of two references, who are not related to you by blood or marriage, and who know you professionally through your work, and whom you have known for at least one year. DO NOT list a supervisor from your above employment information. This can be a past co-worker, teacher, group leader, mentor, etc.

    First Reference

    Second Reference

    Applicant's Statement

    ​I authorize the references listed above to give you any and all information concerning my previous employment and any other pertinent information and release all parties from all liability for any damage that may result from furnishing the same to you.
     
    I understand that employment in certain positions may be conditional upon a review of criminal records; I authorize the Adams County Humane Society to request and obtain records to determine the accuracy of my responses.
     
    I hereby certify, under the penalty of perjury, that this application contains no willful misrepresentation and that the information is true to the best of my knowledge. I know that if investigation at any time should disclose misrepresentation or falsification or omission that my application can be rejected, or I may be discharged from my employment.
     
    I understand that the Adams County Humane Society is an at-will employer, which means that the Adams County Humane Society or any employee at the Adams County Humane Society may terminate the employment without notice.