Online Employment Application

Please fill out this online application if you are interested in adopting one of our dogs or cats.  You can click on submit at the bottom and it will come straight to us and a representative of the shelter will call you once we have received it.   Do not hit enter while filling it out or it will automatically submit.  You can also download a copy of the application to fill out later or bring with you to the shelter.  If you have trouble filling out the application online or downloading it, you can always come on in to the shelter and fill one out.

Download the application

Name: 
Address: 
City:  
State:  
Zip:  
 
Day Phone:  
Evening Phone:  
Emergency Contact Phone Number:  

Driver's License #: 

Are you 18 years or older?:  

Yes     No

Email:

Have you ever been convicted of a crime? Yes     No
If yes, what was the nature of the offense? 
We will do a background check!

Are you legal to work in the U.S.?Yes         No

Date you are available to start: 

How did you hear about the job? Check all that apply:
Northwest Herald
Current Employee
Walk in
Adoption
Other		  

EDUCATION

Last School Attended: Field of Study:

Address: Degree Earned:

TRAINING AND/OR SKILLS RELATED TO THE JOB

Office Skills

WORK HISTORY

Current/Last Employer:
Name of Supervisor:
Address:
Phone:
Job Title:
Start & End Dates:
Pay Rate Start
Pay Rate End
Duties:
Reason for leaving:


 

(2) Employer:
Name of Supervisor:
Address:
Phone:
Job Title:
Start & End Dates:
Pay Rate Start
Pay Rate End
Duties:
Reason for leaving:


 

(3) Employer:
Name of Supervisor:
Address:
Phone:
Job Title:
Start & End Dates:
Pay Rate Start
Pay Rate End
Duties:
Reason for leaving:

 

AVAILABILITY

How flexible are your hours?  We operate seven days a week from 6 A.M. to 7 P.M. Holidays and weekends!!  Please indicate what day and hours you are available to work.  List hours next to days.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Weekends? Yes   No
Holidays?  Yes   No

 

QUESTIONNAIRE

What are your plans for the following year?

School        Working        Moving        Other

If other, please explain:

How many pounds can you lift?

What kind of cleaning do you expect to do at the shelter?

What would your reaction be to being bitten, scratched, jumped on or kicked by an animal?

How would you correct an animal for misbehaving?

Name three traits or talents you have that would benefit the shelter.

Describe in detail how you would handle stressful or emergency situations.

Do you have any allergies? If yes, please list

Do you have an aversion or fear to any type of animal? (Please list and explain)

Are there any breeds of dogs that you are afraid of? (Please list)

How would you deal with a conflict between you and a coworker?

Using three adjectives, how would a current coworker or supervisor describe you?

You are alone and come across a dog fight. What would you do?

If a dog breaks loose and is running around the property what do you do?

Do you find you work better in a group or alone? Group   Alone

If you knew something illegal or inappropriate was going on at the shelter how would you handle the situation?

Have you ever been terminated from a position? Yes   No

If yes, why?

How many days in the last year have you been absent from work?

Do you have reliable transportation to and from work? Yes   No

List any disabilities or medical conditions that would prohibit you from doing strenuous physical activity. (lifting, running, etc.)

PERSONAL REFERENCES  (Please list non relatives)

NamePhone#

Years Known

 

NamePhone#

Years Known

 

NamePhone#

Years Known

 

I acknowledge that I have answered all of the above honestly.  I am also fully aware that if I am hired I will be working with abused and neglected animals that may express their anxieties in ways that may be harmful to myself or others.

Signature: