Employment Application

What position are you applying for?*

Animal Welfare Specialist
Adoptions Manager
Behavior Associate
Vet Tech/Assistant

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email*

Are you 18 years of age or older?*

Yes
No

Have you ever worked or volunteered with animals?*

Yes
No

When and in what capacity?*

Have you ever worked or volunteered at NEAS?*

Yes
No

When and in what capacity?*

Hidden

Do you have any relatives (or close personal relationships) who are employed by NEAS or serve on The Board of Directors?*

Yes
No

Please include their name(s) and position/title

List your past three jobs (most recent first):*

Include company name, description of responsibilities, start/end dates, supervisor name and phone number, and reason for leaving. Please explain any gaps in employment.

List animal related jobs or training not included in prior answer:

List schools attended and degrees:*

(Optional) What salary do you require?

What days & hours are you available?*

Are you able to work additional hours as a temporary fill-in?*

Yes
No
Not sure

Can you work nights and weekends?*

Yes
No
Occasionally

Will your schedule at NEAS be your first priority job?*

Yes
No
Not sure

How long will you commit to working at NEAS?*

3 months
6 months
12 months or longer

List the pets you have owned and for how long:

Do you have any allergies?*

Yes
No

What are you allergic to?*

Are you able to perform the essential functions of the job with or without accommodation?

Yes
No

Are you able to lift a 50 pound animal?*

Yes
No

Are you able to perform the essential functions of the job with or without accommodation?

Yes
No

Why do you want to work at NEAS?

How did you hear about this position?

List several references.

List 2 to 3 supervisory references, if not already mentioned in work history. These must be people who have supervised your work in the past. If you have not had 2 to 3 supervisors, please list someone else who could speak to your qualities as a potential employee (a teacher, clergy, etc). Tell us how you know them; include phone numbers and best time to call.

Per our policy, we access criminal offender record information (CORI). Please check below to indicate that you are aware we do background checks.*

OK

Are you authorized to work in the United States?*

Yes
No

Do you certify that your answers are true and give permission to NEAS to contact any references or past employers to verify the information you have given?*

Yes
No

(Optional) Upload your resume and/or cover letter

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