Employment Application

What type of work are you interested in?

Float

Full-Time

Part-Time

Volunteer

Check all that apply.

Position Applying For

First Name

Middle Name

Last Name

Former Name(s)

Maiden name, previous name before a name change, etc.

Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Birthday

Month

Day

Year

Do you possess a valid driver's license?

Yes

Are you a U.S. Citizen or do you have an entry permit which allows you to work?

Yes

Note: If you were born outside the United States, you may be asked to submit evidence of citizenship (or intent to become a citizen).

Armed Forces History

Include dates and rank

Upload Your Resume

Upload Your Cover Letter

You may be asked to provide references at a later date.

By submitting this form, I certify that:

All statements on my application materials are complete and true to the best of my knowledge.
I understand that false statements or omissions of fact shall be sufficient cause for rejection of this application or dismissal, if I am not an employee of the South Wood County Humane Society (SWCHS)
I understand that, if I am employed such employment does not create a contractual obligation upon the SWCHS to continue my employment and that I may be terminated, with or without cause and with or without notice, at any time.
The SWCHS is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability, veteran status, or any other protected group.
I grant permission to the SWCHS to conduct a criminal background check and investigate my reference, to include past employers listed; and I authorize my references and past employers to provide the SWCHS information which SWCHS deems appropriate.