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
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?*
Full-time employmentPart-time employment
Application Information
Manager of Pet Resource Center & Animal ServicesShelter Veterinarian (Full-Time)Shelter Veterinarian (Relief)
NoneCommunity CaseworkerManager of Pet Resource Center & Animal ServicesCustomer Care AssociateOther
What is your desired pay?*
Desired Pay (Hourly or Annually)
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
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

YesNoOther
WeekendsHolidaysOn-callOther
YesNo
Please explain:*
Please explain previous applications and/or previous employment with Lawrence Humane Society including position(s) and approximate date(s).
Yes, I have fostered.Yes, I have volunteered.Yes, I have both fostered AND volunteered.No, I have not.
YesNo
YesNo
YesNo
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? *
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 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 agree.
- 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.
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Employment Application

Personal Information

Application Information

Resume & Cover Letter

Agreement & Understanding