Lawrence Humane Society | Employment Application

Employment Application

Lawrence Humane Society is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, gender identity, national origin, disability, age, or military or veteran status in accordance with federal law.
Personal Information
First and Last Name*

First NameLast Name
Chosen or Preferred Name
Preferred and/or Chosen Name
Pronouns

She/HerHe/HimThey/ThemOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address*
example@example.com
Phone Number*
Format: (000) 000-0000.
How did you hear about this opportunity?*
What type of employment are you interested in? Select all that apply.*

Full-time employmentPart-time employment
Application Information
What position are you applying for?*

Manager of Pet Resource Center & Animal ServicesShelter Veterinarian (Full-Time)Shelter Veterinarian (Relief)
What other type of position(s) are you interested in and/or would you like to be considered for? Select all that apply.

NoneCommunity CaseworkerManager of Pet Resource Center & Animal ServicesCustomer Care AssociateOther
What is your desired pay?*
Desired Pay (Hourly or Annually)
Do you currently possess any of the following? Select all that apply.*

National Animal Care & Control Association - Basic ACO CertificationNational Animal Care & Control Association - ACO I and ACO II CertificationNational Animal Care & Control Association - Animal Welfare Dispatcher CertificationNo, I do not current possess any NACA certifications.Other
Are you 18 years of age or older?*

YesNo
What date are you available to start?

MonthDayYear
Earliest Possible Start Date

What is your availability?*

Rows	AM	PM	Any	On-Call	None
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays

Most positions require 5 shifts weekly from approximately 9AM to 6PM. Are you able to accommodate?*

YesNoOther
Which of the following are you able to accommodate? Select all that apply.*

WeekendsHolidaysOn-callOther
Have you applied with and/or been previously employed by our organization before?*

YesNo
Please explain:*
Please explain previous applications and/or previous employment with Lawrence Humane Society including position(s) and approximate date(s).
Have you ever volunteered or fostered for Lawrence Humane?*

Yes, I have fostered.Yes, I have volunteered.Yes, I have both fostered AND volunteered.No, I have not.
Are you authorized to work in the United States?*

YesNo
Have you ever worked for Lawrence Humane?

YesNo
Have you ever applied for a position at Lawrence Humane?

YesNo
Most positions require at least one weekend shift per week. Are you able to accommodate?

Yes, I can work Saturdays only.Yes, I can work Sundays only.Yes, I can work both Saturdays and Sundays.No, I am not available to work on weekends.Other
What is the highest level of education you have completed?*
Please describe any specialized job-related training, apprenticeship programs, or any skills you have acquired that can assist you in performing the job for which you are applying:
Why do you want to work at Lawrence Humane and why would you make a great addition to our team? *
What's your favorite animal?

DogsCatsBothOther
Resume & Cover Letter
Cover Letter
Please do not exceed 200 words
Upload Cover Letter*

Upload your cover letter
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Upload Resume*

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- Agreement & Understanding
  
  Please carefully read before signing.
- EMPLOYMENT APPLICATION AGREEMENT
  
  By signing below and submitting this form, I hereby understand that I have submitted this application to the Lawrence Humane Society ("LHS") for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the LHS to further process my application.
  
  I attest to the fact that the information that I have provided on my application, including my resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from employment.
  
  I hereby authorize Lawrence Humane Society ("LHS") to contact any former employers, references, and all other sources they deem necessary in order to verify facts and information furnished with regard to my character and qualifications. I also release LHS and its agents from all liability which might result from conducting this investigation.
  
  I understand that no statement, whether written or verbal, nor this application, or any other document including job offer forms, will be deemed to create a contract of employment. Lawrence Humane is an at-will employer and the employee or employer may terminate employment at any time. I further understand that any misleading or incorrect statements may render this application void, and if employed, may result in immediate termination.
- I have submitted this application form to the Lawrence Humane Society for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.*
  
  I agree.
- I attest to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company’s employment.*
  
  I agree.
- I authorize Lawrence Humane Society (LHS) to contact any former employers, references, and all other sources they deem necessary in order to verify facts and information furnished with regard to my character and qualifications. I also release LHS and its agents and designees from all liability which might result from conducting this investigation.*
  
  I agree.
- By selecting "I agree", and signing below. I certify that I have read and understand the terms of the Employment Application Agreement and that I agree to all terms outlined therein.
  
  I agree
- Signature*
  
  Clear
- Today's Date*
  
  MonthDayYear
  Date
- EMPLOYMENT APPLICATION AGREEMENT
  
  I hereby certify that all questions are correctly answered, and authorize Lawrence Humane to contact any former employers, references, and all other sources they deem necessary in order to verify facts and information furnished with regard to my character and qualifications. I also release LHS and its agents from all liability which might result from conducting this investigation.
  
  I understand that no statement, whether written or verbal, or this application, or any other document including job offer forms, will be deemed to create a contract of employment. Lawrence Humane is an at-will employer and the employee or employer may terminate employment at any time. I further understand that any misleading or incorrect statements may render this application void, and if employed, may result in immediate termination.
- How were you referred to us?
  
  EmployeeFacebookWet Nose NewsInstagramLinkedInIndeedOther
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Employment Application

Personal Information

Application Information

Resume & Cover Letter

Agreement & Understanding