Employment Application

Employment Application

Employment Application

Wabash County Animal Shelter
Position you are applying for:
PERSONAL INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you authorized to work in the US on an unrestricted basis?
Are you a US Veteran?
Have you ever been convicted of a felony? Convictions will not necessarily disqualify an applicant for employment)
When can you start?
Desired wage?
POSITION INFORMATION
Hours
I am available: (check all that apply)

Work History

Rows	Current or Most Recent	Prior	Prior
Employer
Address
City/State/Zip
Telephone
Supervisor Name
Employment Dates
Position / Job Title
Pay
Reason for leaving
May we contact

Education

Rows	Name /Location	Last Year completed	Degree / GED
High School
College/University
Trade School
Other

References

Rows	Name	Phone	Relationship
Reference #1
Reference #2
Reference #3

Please upload your resume and cover letter here:

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I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge.

I understand that if I am employed, false statements, ommissions or misrepresentations may result in my dismissal.

I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed reference on this application.

I acknowledge and understad that the company is an "at will" employer. therefore, any employee may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without casue, with or without notice to the other party.
Applicant's signature of agreement:
Should be Empty: