Job Application

Job Application
First & Last Name
Date

MonthDayYear
Date
Social Security
Primary Phone
Address
City, State, Zip:
Email
example@example.com
Position Applying For
What date would you be available to start

MonthDayYear
Date

Type a question

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
From
To

Total hours per week you expect to be available to work
Do you have any special requests or needs for your work schedule be specific
Are you willing able to work your fair share of weekends and holidays
If no please explain
Are you 16 years old or older?

YesNo
Do you have a valid driver's license?

YesNo
Have you been convicted of a crime?

YesNo
If yes please explain
Have you been convicted of animal neglect, abuse, and/or cruelty?

YesNo
If yes please explain
Are you employed now?

YesNo
Are you prevented from lawfully becoming employed in this country because of Visa or immigration?

YesNo
Special skills or qualifications
PLEASE PROVIDE THREE REFERENCES NOT RELATED TO YOU
Name
Email
Phone #
Name
Email
Phone #
Name
Email
Phone #
EDUCATION BACKGROUND
School
Years Completed
DiplomaDegree
School
Years Completed
DiplomaDegree
EMPLOYMENT HISTORY
Job Title
1 Employer
To
Work Performed
From
Supervisor
Phone
Reason For Leaving
Job Title
2 Employer
To
Supervisor
Work Performed
From
Phone
Reason For Leaving
Job Title
Employer
To
Supervisor
Work Performed
From
Phone
Reason For Leaving
APPLICANT'S STATEMENT
Icertify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, I am required to abide by all rules and regulations of Almost Home Animal Rescue.
Signature of Applicant

Clear
Date

MonthDayYear
Date
Should be Empty:

Job Application

PLEASE PROVIDE THREE REFERENCES NOT RELATED TO YOU

EDUCATION BACKGROUND

EMPLOYMENT HISTORY

APPLICANT'S STATEMENT