Application for Employment

Shelter from the Storm All Breed dog and cat rescue. is currently accepting hard working applicants to fill an available position in our shelter.

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Personal Information

* First Name

* Last Name

* Address 1

Address 2

* City

* State

* Postal Code

* Phone

* Email Address

* Position Applying For

* Are you legally authorized to work in the United States?

Yes

* Have you ever been convicted of a felony?

Yes

If yes, please explain.

Availability

Employment History

Please give a complete record of any employment: self employment, military service or volunteer experience you have had in the past 10 years. You may include positions beyond the 10 year period if they relate to the position for which you are applying. Start with the most recent job. Indicate any change in job title under the same employer as separate position.

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

* My we obtain references from the employers named?

* If No please name and explain exceptions.

References

Name

Title

Phone

Email Address

Name

Title

Phone

Email Address

Name

Title

Phone

Email Address

Additional Skills

Typing Speed (words per minute)

List any additional skills that you would like to mention.

Physical Record:

* Do you have any physical limitations that preclude you from perfoming any work from which you are being considered?

Yes

* If so please discribe:

* Can you lift and carry at least 50 pounds?

Yes

* Do you have allergies to animals or detergents?

Yes

* In case of Emgerency Notify (please include name, address and phone number)

Please answer the following questions:

* 1. Why do you want to work for Shelter from the Storm?

* 2. Why do you feel that you are a good candidate for this position?

* 3. What are your feelings aout the euthanasia of an animal that is unadoptable due to health or behavior reasons?

* 4. How do you handle an angry customer or co-worker?

* 5. Are you available to work weekends, holidays and evenings?

* " I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they have, personal or otherwise, and release all parties from all liabilty for any damage that may result from furnishing it to you."

You initials are your signature:

Please submit a copy of your resume.

* Indicates Response Required