Employment Application

Applications with missing information will be considered incomplete and will not be processed. All applications must be completely filled out, even if submitting a resume.

Position you are applying for: *

Name *

Preferred Pronouns *

She/her

He/him

They/them

Other

Address *

Country

City

State

Zip code

Phone Number *

Email Address *

Where did you hear about this job?

Have you ever applied to, worked at, or volunteered at AVHS before?

If so, when?

If you would like to submit a resume, please do so here.

Education

Highschool, Name and Location *

College, Name and Location of School

Area of Study

Highest level of education obtained (GED, high school diploma, associates degree, bachelors, masters, doctorate, etc.) *

Are you 18 years or older? *

Former Employers

List four former employers, starting with your most recent employer.

Employer 1, Name, Address, Phone

Employer 1, Dates: To/From

Position

Reason for Leaving

Employer 2, Name, Address, Phone

Employer 2, Dates: To/From

Position

Reason for Leaving

Employer 3, Name, Address, Phone

Employer 3, Dates: To/From

Position

Reason for Leaving

Employer 4, Name, Address, Phone

Employer 4, Dates: To/From

Position

Reason for Leaving

References

Below, give the names of three persons not related to you, who have known you for at least one year. Be sure to include phone numbers for all references.

Reference # 1 Name

Address/Phone Number

Company/Organization

Years Known

Reference #2 Name

Address/Phone Number

Company/Organization

Years Known

Reference #3 Name

Address/Phone

Company/Organization

Years Known

Equal Opportunity Statement

Ark-Valley Humane Society is dedicated to the principles of equal opportunity and nondiscrimination. Therefore, it is our policy to offer fair and equal opportunities to all employees and applicants, regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, disability, veteran's status, or any other category protected under federal, state, and local law. We recruit, hire, evaluate, and promote individuals solely on the basis of their qualifications for the job to be filled. In addition, our equal opportunity policy extends to job assignments, working conditions, scheduling, benefits, wage and salary administration, disciplinary actions, termination, and social, educational and recreational programs. AVHS is dedicated to providing its employees with a working environment that enables each employee to work productively and to the best of his or her ability. Therefore, we neither condone nor tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status, or disability. We expect and require the cooperation of all employees in maintaining a discrimination and harassment-free atmosphere. In accordance with our mission and operations, we do not hire individuals who have been convicted of animal cruelty and abuse, assault, burglary, theft, or sex crimes. Other convictions do not automatically make an individual ineligible for employment with Ark-Valley Humane Society. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.

Signature *

(Type your name and check the box below)

By checking this box I agree that all statements made in this application are correct *

Yes, I have read and agree that all statements made in this application are correct.

Date *

Do you have a valid Driver's License? *

719-395-2737

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Employment Application