Online Job Application

Please tab between fields in the job application. DO NOT USE THE ENTER KEY!

	Date:
	How did you hear of this job?
	Last Name, First Name Middle initial
	Drivers License State and Number
	Gender
	Address
	HOW MANY YEARS HAVE YOU LIVED AT THIS ADDRESS?
	Home Telephone
	Cell Phone
	Business Phone
	Best time to call & which number.
	Previous Address and how long did you live there?
	First Choice Position
	Second Choice Position
	Specify days and times you can NOT work.
	E-Mail Address:
	Birthday - mm/dd/yy
	Desired Hourly Wage
	If hired, when would you be able to start?
	In a short paragraph state why you would like to work at our facility.
	Write another paragraph on what special training or interests you have to offer.
	From time to time we are asked to euthanize animals. Write a short paragraph on how you feel about this subject.

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion or national origin. Public Law 90-202 prohibits discrimination because of age. The laws of some states prohibit some of all of the above mentioned types of discrimination.