Employment Application

Application – Employment

About You

Check all that apply.
Name
Name
First
Middle
Last
Address
Address
City
State/Province
Zip/Postal
Maiden name, previous name before a name change, etc.
If you have a CDL, please list classification
Note: If you were born outside the United States, you may be asked to submit evidence of citizenship (or intent to become a citizen).
Include dates and rank
Conviction record will not automatically exclude you from employment. Factors such as age at the time of the offense, rehabilitation efforts, and time passed and seriousness of the crime will be taken into account. The relationship between the offense and the job for which you are applying will be evaluated carefully.

Emergency Contact

Person, other than yourself, who we may contact in the event of an emergency.
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal

Maximum file size: 33.55MB

Upload a resume, cover letter, and references.

If you have provided a resume and references, you may skip the following sections and submit your application now.

Education History

Complete this section only if the information has not been included in the attachments upload.
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Employment History

Complete this section only if the information has not been included in the attachments upload.
MM/YY
MM/YY
Address
Address
City
State/Province
Zip/Postal
Supervisor’s Name
Supervisor's Name
First
Last
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References

Complete this section only if the information has not been included in the attachments upload.
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
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Other

Complete this section only if the information has not been included in the attachments upload.
Include competency level for equipment/machines

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.