Job Application

Phone Number *

References: Name, relationship, company, address & phone *

Have you ever worked at HSCC? If so , when? *

Are you willing to work any shift and on weekends? *

Can you lift 50LBS? *

If applicable, can you work overtime? *

I certify that the information in this application is true and accurate. Im understand that providing false or misleading info will be basis for rejection of my application. I authorize inquiries about eduction and employment by HSCC. If an employment relationship is created< I understand that unless a specific written contract of employment on behalf of HSCC, the employment will be "At will" Im have read the above certification and I understand and agree to its terms: Signature and date *

References: Name, relationship, company, address & phone *

Emergency Contact, address, phone and relationship *

Desired salary *

Date of Birth *

Do you own animals? if so what kind? *

May we contact previous supervisor for a reference? *

Drivers Lic Number *

Name: *

Position applied for *

Education: Highschool, college, other, years graduated *

Other information you believe should be considered, including whether you are bound by any agreement with current employer *

Previous Employment: company,address, supervisor, job, responsibilities, dates, salary and reason for leaving *

List the skills and years of experience you have for the job you are seeking *

Previous Employment: company,address, supervisor, job, responsibilities, dates, salary and reason for leaving *

Address *

Are you able to bend and clean small areas and kennels? *

Would anything prevent you from working with our dogs? *

Email: *

Check here to receive email updates

If not, are you authorized to work in US? *

Previous Employment: company,address, supervisor, job, responsibilities, dates, salary and reason for leaving *

References: Name, relationship, company, address & phone *

Are you able to perform kennel duties? If not, what accommodations are needed? *

Date available to start *

Military Service: Branch, dates, rank at discharge, type of discharge, if other that honorable, please explain *

Have you aver volunteered at HSCC? *

City, State & Zip code *

U.S. Citizen? *