Employment Application

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Equal Opportunity Employer

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, sex, religion, disability or national origin.

First Name

Last Name

Date of Birth

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Phone

Cell Number

Available Start Date

Position applied for

Pay starts at $9.00 per hour with a possible increase after six months following a review.

Are you a citizen of the United States?

true
false

Are you allowed to work in the US?

Have you previously worked for SPCA of the Triad? If so, when?

Are you employed now? If so, may we contact your employer?

Type of employment?

Full-time
Part-time
Summer
Temporary

Our available shift hours are 7 am -1 pm and 1pm - 7 pm. Are you available for one or both of those shifts?

Education and Office Skills

High School / When did you attend from___ to ___

Please provide the city and state of the high school you attended

Did you graduate high school ?

Have you had further school since high school? If so, what?

Do you have experience with animals? If so, what?

Employment History (List Present or Most Recent Position First)

Company

Phone

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Name and Position of Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From and Too Dates

Reason for Leaving

May we contact your previous supervisor for a reference?

false
true

Other employment?

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