HWH Employment Application

EMPLOYMENT APPLICATION
Thank you for your interest in employment with Horses Without Rescue (HWH). The employees of HWH are the key to the success of our organization. We are committed to treating our employees with dignity and respect, dealing with them honestly, compensating them fairly and and giving them opportunities to develop to their full potential. As you complete this employment application, we ask that you complete every section. If you have questions about any of the information on this form, please contact our office.

HWH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran per applicable federal, state and local laws. HWH complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

HWH expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of HWH’s employees to perform their expected job duties is not tolerated.
PERSONAL INFORMATION
Name

First NameMiddle InitialLast Name
Email    Email   Telephone   Area Code   Phone Number

Address
Street Address   Address Line 2   City
State   Zip
How long have you lived at this address?   Years/Months
Are you at least 18 years of age?  Yes No
If no, please state your age:    Number
Are you a US citizen? Yes No
If no, are you authorized to work in the US? Yes No
Have you ever been convicted of a crime?:  Yes  No
If yes, please explain:    answer

Are you capable of lifting, carrying/pushing up to 25 lbs regularly, 30-35 lbs frequently, and up to 50 lbs occasionally when hay shipments are delivered?
(not required of office staff applicants) Yes  No
If no, please explain:    answer

Are you able to perform manual work that will involve bending, kneeling, pulling, crouching, and standing for extended periods?    Yes No
If no, please explain:   answer
EMPLOYMENT INFORMATION
Position applying for:   Job Title
Date Available to start:   Date
Type of Employment desired:    Full Time   Part Time     Contract
Salaried Desired:   Desired Salary
Are there any shifts or hours that you cannot work?   Yes   No
If Yes, please identify:  Please Identify
EQUINE EXPERIENCE

(Use "Additional Notes" section to elaborate as needed)
Have you ever worked with horses? Yes No
If Yes, in what capacity? Please Explain
How would you rate you handling skills with unknown horses?

BeginnerIntermediateAdvanced
Please check any experiences that you have dealt with:

BoltingBitingRearingStrikingHerd-BoundStallionFeralUnder 2 yrsKickingOTTB
Do you have any experience with neglected horses? Yes No
If Yes, how many and in what way? f Yes, how many and in what way? Please Explain
Please check any of the following you have dealt with:

ColicLamenessDermatititsThrushWoundsAbscessesLaminitis/FounderStranglesHeavesTendon/Ligament InjuriesPregnant MaresFoaling
Please check any of the tasks you CAN do:

IM InjectionIV InjectionHoof WrapStanding WrapStack WrapTake VitalsOral MedsDewormers
MANAGEMENT EXPERIENCE

(Use "Additional Notes" section to elaborate as needed)
Do you have experience managing people?     YES   NO
If yes, please provide a summary:   Please Describe

Do you have experience educating people?     YES   NO
If yes, please provide a summary:   Please Describe

Have you ever had a conflict with a coworker?     YES   NO
If yes, how did you handle it?   Please Describe
If no, how have you avoided it?   Please Describe

Please describe your experience in dealing with customers/clients/volunteers.   Please Describe

Please describe any computer skills you may have.
Please Describe
EDUCATION

Please complete to your highest level of achievement
HIGHSCHOOL

Name & Location Name & Location Years Completed Number
Did you graduate? Yes No Degree Earned Degreee
COLLEGE

Name & Location Name & Location Years Completed Number
Did you graduate? Yes No Degree Earned Degreee
GRADUATE SCHOOL

Name & Location Name & Location Years Completed Number
Did you graduate? Yes No Degree Earned Degreee
TRADE / BUSINESS SCHOOL

Name & Location Name & Location Years Completed Number
Did you graduate? Yes No Degree Earned Degreee
List any activities, clubs or professional organizations with which you are/were involved that may be related to this position.
List any certifications or designations that you have obtained that may be related to the position for which you are applying. If you currently hold an active license (CPA, etc.), please list expiration dates(s).
EMPLOYMENT EXPERIENCE

Please give accurate, complete full and part-time employment records. Start with your present or most recent employer first. Please DO NOT write "see resume." NOTE: All employers listed above may be contacted unless the applicant indicates differently.
COMPANY NAME: Name
Telephone:   Area Code   Phone Number
Address:   Street Address      City
State   Zip
Employed from:   Date  TO:   Date
Name of Supervisor:   Full Name
Job Title & Responsibilities:   Title & Responsibilities
Reason for Departure:     Departure Reason
Starting Salary:   $   Ending Salary:   $
COMPANY NAME: Name
Telephone:   Area Code   Phone Number
Address:   Street Address      City
State   Zip
Employed from:   Date  TO:   Date
Name of Supervisor:   Full Name
Job Title & Responsibilities:   Title & Responsibilities
Reason for Departure:     Departure Reason
Starting Salary:   $   Ending Salary:   $
COMPANY NAME: Name
Telephone:   Area Code   Phone Number
Address:   Street Address      City
State   Zip
Employed from:   Date  TO:   Date
Name of Supervisor:   Full Name
Job Title & Responsibilities:   Title & Responsibilities
Reason for Departure:     Departure Reason
Starting Salary:   $   Ending Salary:   $
Are there any employers above whom you do not wish us to contact? Yes No
If Yes, please indicate the employer and reason. Reason
MILITARY SERVICE

Please complete only if applicable
Branch: NameFrom:   Date  to:   Date
Rank at Discharge: Rank   Type of Discharge:   Discharge Type
If other than honorable, please explain:     Please Describe
PROFESSIONAL REFERENCES

List below the names of three persons, not related to you, who you have known for at least one year in a professional or business capacity.
Name & Title: Name
Telephone:   Area Code   Phone Number
Email:   Email
Business:   Full Name
Number of Years Acquainted:   Number
Name & Title: Name
Telephone:   Area Code   Phone Number
Email:   Email
Business:   Full Name
Number of Years Acquainted:   Number
Name & Title: Name
Telephone:   Area Code   Phone Number
Email:   Email
Business:   Full Name
Number of Years Acquainted:   Number
ADDITIONAL NOTES:
DISCLAIMER & SIGNATURE

I hereby reaffirm that I have read the forgoing questions and that my answers to them are true and correct and that I have not misrepresented or withheld any information. I understand that falsification of this information may be cause for immediate dismissal. I further acknowledge that my employment may be terminated, and any offer of employment may be withdrawn without prior notice at any time by the Company or me. I also understand that my employment is at will. This means that I am free to terminate my employment at any time, for any reason, and the Company retains the same right. I understand that any offer of employment may be contingent upon a credit and criminal background investigation and a pre-employment drug screen. I hereby authorize all references and former employers listed on my application to give the Company any and all information concerning my previous employment and any pertinent information they might have, personal or otherwise. I hereby release all parties, including agents, from any claims, cause of action, or liability from damages that may or could result from furnishing such information to the Company or as a result of information obtained through a background investigation or drug screen.
Applicant's Signature: Signature*

Submission Date: Date*
Should be Empty:

EMPLOYMENT APPLICATION

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

EQUINE EXPERIENCE

MANAGEMENT EXPERIENCE

EDUCATION

EMPLOYMENT EXPERIENCE

MILITARY SERVICE

PROFESSIONAL REFERENCES