Stone County SPCA Employment Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastBirthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf hired, can you furnish proof of eligibility to work in the U.S.? *Choose OneYesNoHave you ever been convicted of, or have you pled "guilty" or "no contest" to any law violation excluding minor traffic violations? *Choose OneYesNoAnswering “yes” to this question will not automatically bar you from employment unless applicable law requires such action.Do you have a valid driver's license? *Choose OneYesNoDate Available to start? *Are you seeking Full-Time or Part-Time? *Full-TimePart-TimePlease indicate which days you are available to work. *SundayMondayTuesdayWednesdayThursdayFridaySaturdayIf there are any days that you can't work, please explain: *Education Level *Choose OneJunior High SchoolHigh School or GEDCommunity College/Technical ProgramBachelor's DegreeChoose the highest one that you have completed.How comfortable are you around cats? *Choose OneVery- I have or have had them as petsSomewhat- I have been around other people's catsNot very- Have had little to no experience with catsHow comfortable are you around dogs? *Choose OneVery- I have or have had them as petsSomewhat- I have been around other people's dogsNot very- Have had little to no experience with dogsPlease explain your interaction with cats, dogs, or other animals. *Example: have my own pets, worked at a vet clinic, or was in 4-H in school *If none, put none. list leaving? employer Have you ever held a job working with animals? *Choose OneYesNoAre you comfortable working outside regardless of the heat, cold, or rain? *Choose OneYesNoDogs need food, water, and care everyday regardless of what the weather is doing Are you able to lift 50 lbs without any problems? *Choose OneYesNoWe handle large bags of dog food, cat food, and cat litter dailyEmployees are required to clean animal cages and kennels. Do you have any problem cleaning up feces and urine? *Choose OneYesNoDo you think it is okay to chain a dog outside? *Choose OneYesNoDo you think dogs and cats should be spayed or neutered? *Choose OneYesNoAre you able to accept positive criticism? *Choose OneYesNoPlease list your most recent employer. Include employer name, phone number, supervisor name, and your position. *If you have never worked, please put N/A in this space. Example: John Joe’s Cafe, 444-222-6666, Mr. Joe, cook May we contact your current employer? *Choose OneYesNoIf no longer at job listed above, what is your reason for leaving? If still employed or never worked, please skip Please list previous recent employer. Include employer name, phone number, supervisor name, and your position. (copy) *If you have never worked, please put N/A in this space. Example: John Joe’s Cafe, 444-222-6666, Mr. Joe, cook Please list 3 references (they cannot be relatives) Include name and phone number *Example: John Smith 888-555-2222, Jane Doe 999-111-4444, Jim Green 777-222-3333I certify that all information provided in this employment application is true and complete. I understand that false information r omission may disqualify me from further consideration for employment and my dismissal if discovered at a later date. I authorize Stone Co. SPCA to contact past/current employers, references, and/or organizations in making an employment decision. I understand that I may be required to successfully pass a drug screening examination before and during employment. I have read, understand, and by my name placed in this box consent to these statements. Signature * Clear Signature Cover Letter, Resume, & References Click or drag files to this area to upload. You can upload up to 3 files. Submit
