Online Employment Application - Humane Society of Douglas County

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or handicap.

First Name: *
Last Name: *
Address: *
City/State/Zip: *
Home/Cell Phone: *
Work Phone:
Email Address:
How do you prefer to be contacted: *
Home/Cell PhoneWork PhoneEmailNo Preference
Do you have the legal right to be employed in the United States? *
Yes (proof required if hired)No
Are you a veteran of the U.S. Military? *
YesNo
Are you over the age of 18? *
YesNo
Have you applied for employment with HSDC before? *
YesNo
If yes, when did you apply?
When/what position did you apply for?
When can you start working? *
What work status(es) are you interested in? *
Full TimePart TimeTemporaryOther
If you answered "Other", please explain here.

Start with your present or most recent job. Include military assignments, and other volunteer activities. Exclude organizational names which indicate race, color, religion, sex, or national origin.

Employer:
Start Date:
End Date:
Address:
Salary:
Supervisor:
Phone:
Job Description:
Job Duties:
Reason for Leaving:
Can the Humane Society of Douglas County contact your current or previous employers?
YesNo
Is there anything we should know before contacting your present or past employers?

High School
Degree/Certificate | Major/Minor
Did you graduate?
YesNo
Technical College
Degree/Certificate | Major/Minor
Did you graduate?
YesNo
College or University
Degree/Certificate | Major/Minor
Did you graduate?
YesNo
Additional Education
Degree/Certificate | Major/Minor
Did you graduate?
YesNo
*** For degreed positions we will require a copy of transcripts ***
Please describe any special qualifications you have that would make you a good employee:
Drivers LIcense #:
State:
Expiration:

Name:
How they know you / Relationship:
Company/Address:
City/State/Zip:
Phone:
*** References will be contacted. Please ensure that contact information is accurate. ***

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.
Employee Signature: (Enter your full name to signify agreement)
Date: