Greenville Humane Society

Personal Information

Position(s) Applied For
Date of Application

What influenced your decision to apply with
the Greenville Humane Society?(check all that apply)

First Name
MI
Last Name
Address
City
State
ZIP Code
Home Phone
Email Address:
Best time to contact:

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

Have you ever filed an application with us before?

Yes No

If Yes, give date:

Have you ever been employed with us before?

Yes No

If Yes, give date:

Do any of your friends or relatives other than spouse, work here?

Yes No

If Yes, state name;
relationship;
and location:

Are you currently employed?

Yes No

May we contact your present employer?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Yes No

Date Available for Work
What is your desired salary range?

Are you available to work:

Full Time Part Time

Please indicate:

Mornings Afternoons Evenings

Are you currently on "lay off" status and subject to recall?

Yes No

Continue on to

Education and Training

High School

Name of School:
Address of School:
Course of Study:

Years Completed:
Diploma

Undergraduate College

Name of School:
Address of School:
Course of Study:

Years Completed:
Diploma

Graduate/Professional

Name of School:
Address of School:
Course of Study:

Years Completed:
Diploma

Other (Specify)

Name of School:
Address of School:
Course of Study:

Years Completed:
Diploma

State any additional information you feel may be helpful to us in considering your application, including any job related training in the U.S. Military.

Continue on to

Employment History

Start with your present or last job. Include any job-related military service assignments and volunteer activities. Exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer 1
Address
Phone Number:

May we contact?
Yes No
Title:
Reason for leaving
Supervisor Name:

May we contact?
Yes No
Employed From
Employed To

Starting Salary
Final Salary

Work Performed:

Employer 2
Address
Phone Number:

May we contact?
Yes No
Title:
Reason for leaving
Supervisor Name:

May we contact?
Yes No
Employed From
Employed To

Starting Salary
Final Salary

Work Performed:

Employer 3
Address
Phone Number:

May we contact?
Yes No
Title:
Reason for leaving
Supervisor Name:

May we contact?
Yes No
Employed From
Employed To

Starting Salary
Final Salary

Work Performed:

Continue on to

References

Name 1:
Phone Number:
Occupation
Best time to call?

Name 2:
Phone Number:
Occupation
Best time to call?

Name 3:
Phone Number:
Occupation
Best time to call?

Application for Employment

Personal Information

Education and Training

High School

Undergraduate College

Graduate/Professional

Other (Specify)

Employment History

References