Employment Application Form

Name: *

First Name Last Name

E-mail Address:

Phone Number: *

Area Code Phone Number

Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What position are you applying for? *

Customer Care Associate Medical Associate Animal Care Associate Behavior Associate

How were you referred to us?

Employee Facebook Wet Nose News Instagram LinkedIn Indeed

Upload Cover Letter:

Upload Resume:

Have you ever worked for Lawrence Humane? *

Yes No

If yes, what was your position and approximate dates of employment?

Have you ever volunteered at Lawrence Humane? *

Yes No

Have you ever applied for a position at Lawrence Humane? *

Yes No

What date are you available to start?

Date

Most positions require availability 5 days-a-week from 9am to 6pm. Are you able to accommodate? *

Yes No

Most positions require at least one weekend shift per week. Are you able to accommodate? *

Yes, I can work Saturdays only. Yes, I can work Sundays only. Yes, I can work both Saturdays and Sundays. No, I am not available to work on weekends.

Most positions typically begin at $12.50/hour, unless specified otherwise. Are you willing to accept this wage? *

Yes No

Highest level of education:

Please describe any specialized job-related training, apprenticeship programs, or any skills you have acquired that can assist you in performing the job for which you are applying:

Why do you want to work at Lawrence Humane and why would you make a great addition to our team? *

What's your favorite animal?

Dogs Cats Both

By clicking here, I hereby certify that all questions are correctly answered, and authorize Lawrence Humane to contact any former employers, references, and all other sources they deem necessary in order to verify facts and information furnished with regard to my character and qualifications. I also release LHS and its agents from all liability which might result from conducting this investigation. I understand that no statement, whether written or verbal, or this application, or any other document including job offer forms, will be deemed to create a contract of employment. Lawrence Humane is an at-will employer and the employee or employer may terminate employment at any time. I further understand that any misleading or incorrect statements may render this application void, and if employed, may result in immediate termination? *

I agree