Lucy Mackenzie Humane Society
Celebrating Over 100 Years of Companionship, One Animal at a Time
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Employment Application
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Our Animals
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Adoption FAQs
Adoption Application
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Lucy Mackenzie Alumni
Events
Programs
Jake’s Friends Fund
Dog Training
Pet Pantry
Spay/Neuter Clinics
Sophie’s Seniors
Lost and Found
Cruelty Response
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Castaways Premiere Donation
Make a Donation
MacBuddies
Planned Giving
Volunteer
Volunteer
Foster Volunteer
Opportunities
Volunteer Newsletter
Volunteer Application
Volunteer FAQs
Volunteering Best Practices
About
About
- Our Mission
- Our Shelter
- History
- Staff
- Board of Trustees
- Employment Opportunities
Employment Application
Contact
Our Animals
Our Animals
- Adoption Process
- Adoption FAQs
Adoption Application
News
COVID-19 Response
Lucy Mackenzie Alumni
Events
Programs
Jake's Friends Fund
- Dog Training
Pet Pantry
- Spay/Neuter Clinics
- Sophie's Seniors
- Lost and Found
- Cruelty Response
Donate
Castaways Premiere Donation
- Make a Donation
MacBuddies
- Planned Giving
Volunteer
Volunteer
Foster Volunteer
- Opportunities
Volunteer Newsletter
- Volunteer Application
- Volunteer FAQs
Volunteering Best Practices
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Employment Application
Employment Application for Lucy Mackenzie Humane Society
Lucy Mackenzie Humane Society Employment Application - to be completed by all individuals interested in applying for employment.
Position you are applying for:
APPLICANT INFORMATION
Name
First
Middle
Last
Mailing Address
Mailing Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Physical Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
Social Security Number
Date Available to Begin
Are you a citizen of the United States?
Yes
No
Third Choice
If no, are you authorized to work in the US?
N/A
Yes
No
Have you ever worked for Lucy Mackenzie Humane Society?
Yes
No
Third Choice
If yes, when?
Have you ever been convicted of a felony?
Yes
No
Third Choice
If yes, please explain.
EMPLOYMENT HISTORY
Beginning with either your current or most recent, please complete the details of your three most recent places of employment.
1. COMPANY NAME
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Supervisor's Name
Job Title
Starting Salary
Ending Salary
Responsibilites
Start Date
End Date
What was your reason for leaving this position?
2. COMPANY NAME
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Supervisor's Name
Job Title
Starting Salary
Ending Salary
Responsibilites
Start Date
End Date
What was your reason for leaving this position?
3. COMPANY NAME
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Supervisor's Name
Job Title
Starting Salary
Ending Salary
Responsibilites
Start Date
End Date
What was your reason for leaving this position?
EDUCATION
Name of High School
High School Address
Dates Attended
Did you graduate high school?
Yes
No
Name of College
College Address
Dates Attended
Do you have a degree?
Yes
No
What is your degree in?
Education - Other
Please detail any other types of education or certificates.
GENERAL
Please describe your work experience with animals:
Do you have any allergies?
No
Yes
If yes, please explain:
Why would you like to work at Lucy Mackenzie?
Are you able to life 50 lbs. safely and unaided?
Yes
No
Do you currently have any animals of your own?
Yes
No
If yes, how many and what types?
All employees are expected to work some holidays and to fill in as needed. Please check the box below indicating you agree to this requirement.
I understand that I will be required to work some holidays.
REFERENCES
Please list three references below, including at least two professional relations.
First Reference Name
Phone
Relation
Years known?
Second Reference Name
Phone
Relation
Years known?
Third Reference Name
Phone
Relation
Years known?
DOCUMENT UPLOADS
If you would like to upload a cover letter, resume, or any other documents, please do so here.
Disclaimer and Signature - Please Read Carefully
I hereby certify, under the penalty of perjury, that this application contains no willful misrepresentations and that the information is true and complete to the best of my knowledge. I know that if investigation at any time should disclose misrepresentation of falsification or omission that my application will be rejected or I may be discharged from my employment should I become an employee of LMHS.
By entering your name here, you agree to the above statement.
First
Last
Date
Date Format: MM slash DD slash YYYY
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