Application for Paid Employment

* Required

Title

First Name *

Last Name *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Work Phone Number *

Cell Phone Number *

What days would you be available to work? *
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please indicate the times that you would prefer to work: *

Desired position: *

Date you can start: *

Salary desired: *

Are you employed now? *

If YES, may we contact your present employer?

Are you legally authorized to work in the US? *

Have you previously applied for employment at The Simon Foundation, Inc. *

If YES, at which facility?

If YES, when?

Why do you want to work at The Simon Foundation, Inc.? *

Please list the name, location, years attended and graduation status of any high schools and colleges attended: *

List any subjects of special study / research work:

List any special skills:

List any training:

U.S. Military or Naval service and rank:

Describe previous experience working with animals: *

Please list your four (4) most recent employers (including duration, name and address, salary, position and reason for leaving), starting with the last one first: *

Please list two (2) references who are not family members (including name, address, phone, relationship and years known): *

Enter Word Verification in box below *
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Terms and Conditions:

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize The Simon Foundation, Inc. to investigate all statements contained herein and the references and employers listed above to give them any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release The Simon Foundation, Inc. from all liability for any damages that may result from utilization of such information.

I also understand and agree that no representative of The Simon Foundation, Inc. has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

If employed, I will familiarize myself and comply with the policies and procedures of The Simon Foundation Inc. In particular, I fully understand that The Simon Foundation, Inc. expects high standards of moral and ethical treatment of the animals under its care. I will adhere strictly to these standards in my capacity as an employee. I will follow the policies, procedures, and safety precautions of the animal shelter, and follow the instructions/directions of the staff supervisors.

I understand the potential safety risks of working with animals and of bringing home illnesses from the shelter to personal pets. I will practice reasonable health hygiene and adhere to the hygiene policies of The Simon Foundation, Inc.

I will not bring unapproved guests or family to the animal shelter while I am on duty.

Release:

I understand that the handling of animals and other activities on behalf of The Simon Foundation, Inc. may place me in a hazardous situation and could result in injury to me or my personal property. On behalf of myself, and my heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless The Simon Foundation, Inc. and its directors, officers, employees and agents from any and all claims, causes of actions and demands of any nature, whether known or unknown, arising out of or in connection with my employment activities on behalf of The Simon Foundation, Inc. Understanding that public relations are an important part of an employee’s activities, I hereby authorize The Simon Foundation Inc. to use any photographs of me in its possession for public relations purposes. I ask that The Simon Foundation, Inc. use reasonable efforts to give me advance notice of any such use, but such notification is not a condition to release photographs for public relations purposes.

If you are under 18 your parent or legal guardian must sign this form prior to your volunteering.

By checking the “I Agree” box, I hereby accept these TERMS and CONDITIONS. *
I Agree
I Disagree

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