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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, via Facebook, or 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.
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Indicates required field
Date
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Name
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First
Last
Date of Birth
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Phone Number
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Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
How long have you lived at this address?
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Position you are applying for:
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Are you applying for full-time or part-time work?
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If hired, you will be required to work one weekend day each week. You will also be required to work some holidays. Do you understand and accept this condition?
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Are you able to work both mornings and afternoons as needed?
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Date you can start?
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How did you learn of this job?
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If hired, can you supply proof of eligibility to work in the United States?
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Valid Driver's License Number
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List any traffic tickets you have had in the last 5 years:
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Have you ever been charged of a crime against an animal?
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List any criminal offenses you have been convicted of.
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Have you ever worked for an animal rescue or shelter?
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Yes
No
List any experience you have caring for animals.
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Are you comfortable working with customers?
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Yes
No
Do you have any computer skills?
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Yes
No
Do you have any allergies to animals or chemical cleaning supplies?
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Yes
No
Are you able to lift a minimum of 50 lbs?
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Yes
No
Are you willing to be trained on administering medication to animals?
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Yes
No
If you know any ACHS employees or volunteers please list them here. If not, write NONE.
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Why do you think you should be hired to work at ACHS?
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Education
List your highest level of educational level.
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High School attended/ date started and date left
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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:
List your most recent job: Name of employer, date you started and last day of work, and job duties.
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Job you worked before last job listed: Name of employer, date you started and last day of work, and job duties. If none, write NONE
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Job you worked before last job listed: Name of employer, date you started and last day of work, and job duties. If none, write NONE.
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Job you worked before last job listed: Name of employer, date you started and last day of work, and job duties. If none, write NONE.
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Have you ever been fired from a job?
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Yes
No
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
Name
*
First
Last
Phone Number
*
Relationship to reference
*
Number of years you have known this person.
*
Second Reference
Name
*
First
Last
Phone Number
*
Relationship to reference
*
Number of years you have known this person.
*
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.
Electronic Signature and today's date
*
Submit
Home
Adopt
Adoptable Animals
Adoption Process
>
Adoption Application
Adoption Fees
Pet adjustment process
Volunteer/Foster
Volunteer
Foster
Donate
Amazon & Chewy Wishlists
Faith's Fund
Legacy Giving
Vehicle Donation
Other ways to support
About ACHS
About Us
Events
