EMPLOYMENT APPLICATION AHHS OFFICE

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PERSONAL INFORMATION

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Home/Cell Phone: *

How do you prefer to be contacted: *

Home/Cell Phone
Work Phone
Email
No Preference

Work Phone: *

Email *

Have you applied for employment with AHHS before? *

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If yes, when did you apply?

What work status(es) are you interested in?

Full Time
Part Time
Temporary
Other

Salary Desired: $

Who referred you to the AHHS?

When/What position did you apply for?

If you answered "Other", please explain

Per

Hour, Month, or Year

Do you have any friends or relatives who work here? If yes, please list here:

Are you at least 18 years old? *

How will you get to work? *

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Are you willing to work any shift, including nights and weekends? *

If applicable, are you available to work overtime? *

If no, please state any limitations:

If your are offered employment, when would you be available to begin work? *

Applicant’s Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking.

Checkboxes

Microsoft Office 365
Answering telephones
Filing
Customer service
Animal care

Additional Skills:

EMPLOYMENT EXPERIENCE

Start with you most recent job. Include military assignments, and volunteer activities.

Employer #1

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Employer:

Start Date:

End Date:

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Address:

Supervisor

Job Description:

Salary:

Phone:

Job Duties:

Reason for Leaving:

Employer #2

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Employer:

Start Date:

End Date:

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Address:

Supervisor

Job Description:

Salary:

Phone:

Job Duties:

Reason for Leaving:

Employer #3

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Employer:

Start Date:

End Date:

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Address:

Supervisor

Job Description:

Salary:

Phone:

Job Duties:

Reason for Leaving:

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Can the Appalachian Highlands Humane Society contact your previous or current employers?

Is there anything we should know before contacting your present or past employers?

EDUCATION

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High School

Degree/Certificate | Major/Minor

Did you Graduate?

Technical College

Degree/Certificate | Major/Minor

Did you Graduate?

College or University

Degree/Certificate | Major/Minor

Did you Graduate?

Additional Education

Degree/Certificate | Major/Minor

Did you Graduate?

Please describe any special qualifications you have that would make you a good employee of the Appalachian Highlands Humane Society:

REFERENCES

Reference #1

Name

First

Last

How they know you / Relationship:

Company/Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Reference #2

Name

First

Last

Company/Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Reference #3

Name

First

Last

Phone

* References will be contacted. Please ensure that contact information is accurate.*

APPLICANT’S ACKNOWLEDGEMENT

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination.

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Signature

Clear Signature

Date:

Thank you for applying to work with the Appalachian Highlands Humane Society

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Applicant’s Skills

EMPLOYMENT EXPERIENCE

Employer #1

Employer #2

Employer #3

EDUCATION

REFERENCES

Reference #1

Reference #2

Reference #3

*** References will be contacted. Please ensure that contact information is accurate.***

APPLICANT’S ACKNOWLEDGEMENT

* References will be contacted. Please ensure that contact information is accurate.*