AniMeals Application for Employment

Name

First NameLast Name

Social Security Number:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency Contact:

First NameLast Name

Emergency Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Are you 18 years or older?

If hired, can you provide proof of identity and employment eligibility?

Do you have a valid driver's license?

Do you have any criminal charges pending, or have you ever pleaded guilty to a crime, forfeited a bond, been convicted of a crime, including a plea of no contest or deferred prosecution, whether or not an appeal is pending? Note: a conviction will not necessarily bar employment.

If yes, please describe:

Select the highest education level completed:

Name of High School (if applicable):

Name of College (if applicable):

College Major/Course of Study (if applicable):

Did you graduate college?

Graduate work (if applicable):

Apprentice/Trade School/Correspondence training (if applicable):

Armed Forces or other training (if applicable):

Position you are applying for:

What type of employment are you seeking?

What date can you start?

Date

Are you able to perform all job-related functions of the position for which you are applying, with or without accommodations?

Are you willing to work weekends?

Are you employed now?

Have you ever applied with AniMeals before?

If yes, when and for what position?

Do we have your permission to contact previous employers?

Do we have your permission to contact currrent employers?

Are you currently employed?

Current or last employer:

Location:

Street Address

Street Address Line 2

CityState / Province

Supervisor:

First NameLast Name

Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Dates of employment:

Wage per hour or salary:

Duties/Responsibilities:

Reason for leaving:

Next previous employer:

Location:

Street Address

Street Address Line 2

CityState / Province

Supervisor:

First NameLast Name

Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Dates of employment:

Wage per hour or salary:

Duties/Responsibilities:

Reason for leaving:

Next previous employer:

Location:

Street Address

Street Address Line 2

CityState / Province

Supervisor:

First NameLast Name

Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Dates of employment:

Wage per hour or salary:

Duties/Responsibilities:

Reason for leaving:

Please upload your cover letter (NO AI PLEASE) here:

Please upload your resume (NO AI PLEASE) here:

Reference #1 Contact Information:

First NameLast Name

Title of Reference:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Reference #2 Contact Information:

First NameLast Name

Title of Reference:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Reference #3 Contact Information:

First NameLast Name

Title of Reference:

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

I certify that the facts contained in this application (and accompanying resume) are true and complete to the best of my knowldge. I understand that any falsestatement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employeed, no matter when discovered by AniMeals.

I understand that any employment is conditioned on a background check. I herby give the AniMeals the right to make a thorough investigation of my employment, education, and activities. I indemnify AniMeals agaisnt any liability that may result from such investigation.

Additionally, I understand that nothing contained in this employment contact between AniMeals and myself for any term of employment or for the providing of any benefit. No promises regarding employment have been made to me and I understand that no such promise or guarantees are binding upon AniMeals unless in writing. I further understand that no agent or representative other than the heif Executive Office of ANiMeal shas the authority to eneter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Signature

Today's Date

Date

I, full name* , authorize such investigation and the giving and receiving of ANY information requested by AniMeals No- Kill Adoption Center and Animal Food Bank. I release from liability ANY person or persons giving or receiving any such information.

Signature

Today's Date

Date

AniMeals Application for Employment

Personal Information

Educational and Training Background

Employment Desired

Employment History

Professional References

Please review this form and make sure that you answered each item fully.