RHZ Employment Application

EMPLOYMENT APPLICATION
Thank you for your interest in joining the Rolling Hills Zoo Team!

Fill out this form carefuly and accurately.
Personal Information
Name*

First NameMiddle InitialLast Name
Age (ONLY if under 18)
Date Available to Work*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Email*
example@example.com
Position Your Applying For
Select the area(s) in which you are interested in.*

AdministrationAdmissions/Gift ShopAnimal KeeperConference CenterEducationJanitorialLandscapeMaintenanceMarketingRestaurantTram Driver
Select how much you're looking to work:

Full-timePart-timeEither - I'm open to full or part-time
Are you willing to work weekends and/or holidays? Check all that apply:

I am willing to work weekendsI am willing to work holidaysI am willing to work some weekends and holidays, but not all.
Can you perform the essential elements of the job you're applying for with or without accommodation?*

With accommodationWithout accommodation
Have you ever been convicted of violating any laws other than minor traffic offenses?*

YesNo
Have you ever been found guilty of, or are currently under investigation for violating wildlife regulations enacted by any of the various states or any agency of the U.S. Government or those of a foreign nation?*

YesNo
If yes, please explain:
If offered employment at Rolling Hills Zoo, you will be required to provide:
- Date of Birth
- Social Security Card
- Drivers License
You will also be asked to authorize Rolling Hills Zoo to conduct an investigation into your background to the fullest extent allowed by law, including but not limited to:
- Motor Vehicle Check
- Criminal Background Check
- Employment History Check
Sign below if you understand, accept, and acknowledge these statements.
Signature for Authorization*
Education
What is your highest level of education?*

High SchoolSome CollegeCollege GraduateVocationalOther
Name & Location of High School
Example: South High School, Salina, KS
Years Attended
Graduate

YesNo
Name & Location of College
Example: Kansas Wesleyan, Salina, KS
Years Attended
Graduate

YesNo
List of Subjects Studied
Name & Location of Vocational School
Example: Salina Tech, Salina, KS
Years Attended
Graduate

YesNo
List of Subjects Studied
If "Other", please elaborate
List any other special skills or training you may have:
Language(s), machine operation, certifications, etc.
Previous Employment

You may list up to three previous places of employment. List your most recent first.
Dates Employed
Examples: May 2018 - September 2020, or May 2018 - Present
Company Name of Employer
Address of Employer

Street Address

CityState

Zip Code
Supervisor Name

First NameLast Name
Salary/Pay from Beginning to End
Ex: Started at $10/hour, ended at $12/hour.
Your Position and Responsibilities
Reason(s) for Leaving
Dates Employed
Examples: May 2018 - September 2020, or May 2018 - Present
Company Name of Employer
Address of Employer

Street Address

CityState

Zip Code
Supervisor Name

First NameLast Name
Salary/Pay from Beginning to End
Ex: Started at $10/hour, ended at $12/hour.
Your Position and Responsibilities
Reason(s) for Leaving
Dates Employed
Examples: May 2018 - September 2020, or May 2018 - Present
Company Name of Employer
Address of Employer

Street Address

CityState

Zip Code
Supervisor Name

First NameLast Name
Salary/Pay from Beginning to End
Ex: Started at $10/hour, ended at $12/hour.
Your Position and Responsibilities
Reason(s) for Leaving
May we contact the employers listed above?

Yes, you may contact all of them.Yes, but only those I indicate below.No.
Which employers can we contact?
Read this statement and sign below.

Your signature affirms that you understand our drug and alcohol abuse policy:
- I understand that Rolling Hills Zoo has adopted a drug and alcohol abuse policy. Before being offered employment with Rolling Hills Zoo, applicants may be required to undergo testing for the use of illegal drugs or alcohol.
- Employees of Rolling Hills Zoo may be required to undergo such testing on a random basis or cause.
- Testing may be conducted for persons in, or being considered for, supervisory, animal keeper, or cash-handling positions.
- Applicants or employees who test positive for alcohol or illegal drugs; refuse to undergo an alcohol and/or drug test; who switch, dilute, or in any manner tamper with, or attempt to tamper with, their specimen, will be given no further consideration for employment or will be terminated from employment - as appropriate and as allowed by applicable local, state and federal laws.
Signature for Drug & Alcohol Policy*
References
How many references do you have?

123
Name of Reference

First NameLast Name
Address of Reference

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Reference

Area CodePhone Number
Reference's Relationship to You
Name of 2nd Reference

First NameLast Name
Address of 2nd Reference

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of 2nd Reference

Area CodePhone Number
2nd Reference's Relationship to You
Name of 3rd Reference

First NameLast Name
Address of 3rd Reference

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of 3rd Reference

Area CodePhone Number
3rd Reference's Relationship to You
Final Questions
What is your desired hourly rate or annual salary?*
Have you ever applied to Rolling Hills Zoo before?*

YesNo
Are you related to anyone employed at Rolling Hills Zoo?*

YesNo
Let us know their name & department:
If you have a resume that you'd like to attach, you may upload your PDF here. You may also choose to bring your resume with you to your scheduled in-person interview.

Browse Files
This is optional Cancelof
IMPORTANT: If you receive a call back from us for an interview, we will print out your application for you to sign & date it.

We also ask that you please bring your:
- Drivers License
- Social Security Card
By signing below, I attest that all statements made in this application are true and accurate. I authorize the investigation of all statements contained herein as may be necessary to arrive at an employment decision.
Signature*
Please hit the "Submit" button once. It may take a minute or two to submit if you've attached a PDF document.
Should be Empty:

EMPLOYMENT APPLICATION

Personal Information

Position Your Applying For

Education

Previous Employment

References

Final Questions