Employment

Please be advised that we do background checks on EVERYONE who applies to be a Volunteer with us. We reserve the right to deny your application if your background does not meet the criteria our volunteers must meet. We appreciate your help and honesty in completing this application.

Personal Information

First Name:
Last Name:
Position Applying For:
Please read all instructions carefully and complete all sections of the application completely and accurately. Your application may be ineligible for review if information is omitted or inaccurate. ATTENTION: It is your responsibility to provide sufficient information on this application to indicate that you meet the minimum qualifications for the job for which you with to be considered. If requested in advance and in compliance with the Americans with Disability Act (ADA), the Humane Society will provide reasonable accommodation to applications in need of accommodation so as to permit access to the application, interviewing and selection process.
Submit Resume:
Have you been employed under another name?:
If yes, what name?:
Address:
Phone:
Email:
Age:

Employment Information

Have you ever been employed by The Humane Society of Erie County?:
If yes, dates employed?:
Do you have a relationship with a current employee or a board member of The Humane Society of Erie County?:
If yes, explain:
Are you legally eligible for employment in the United States:
Are you interested in (Check all applicable):
Days/hours available to work? (Shifts vary from 8am- 6pm every day):

School Information

Are you currently enrolled in or do you plan to return to school?:
Education:
Name/location of school:
Years completed:
Major:
Diploma/Degree:
Licenses List all relevant certificates or licenses (including valid driver’s license)::
Have you ever been convicted of a felony within the last seven (7) years or a misdemeanor of animal abuse within the past seven (7) years?:

Employment

Employer:
Address:
City, State, Zip:
Dates Employed:
Phone Number:
Hourly Rate/ Salary:
Position:
Supervisor:
May we contact them?:
Work performed:
Reason for leaving:

Special Skills

Select all that apply:
Any training or experience related to the care of animals?:
Personal characteristics which would qualify you for employment at The Humane Society:

Professional References

Name:
Occupation:
Address:
City / State:
Phone Number:
Capacity Known:
Number of years:
Thank you for wanting to serve the HSEC as a volunteer and we look forward to many wonderful times together. By signing below, you agree that you have read our rules and will abide them to the best of your ability.

Applicant’s Authorization

This application is invalid without the signature of the applicant. I authorize the references listed above to give you any and all information concerning my previous employment and any other pertinent information and release all parties from all liability for any damage that may result from furnishing same to you. I certify, under penalty of perjury, that the facts contained in this application are true and complete and contain no misrepresentation and is presented to the best of my knowledge and understand that, if employed, falsified statements on their application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization or such information.
Printed Name:
Date:
Signature:
Parent Signature if applicant is under 18: