Employment Application Name* First Last Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Are you 21 or older?* Yes No Are you eligible to work in the US?* Yes No Days & times you can commit to working (Check all which apply): Weekend Mornings Weekend Nights Monday 6am to 11am Tuesday 6am to 11am Wednesday 6am to 11am Thursday 6am to 11am Friday 6am to 11am Monday 4pm to 9pm Tuesday 4pm to 9pm Wednesday 4pm to 9pm Thursday 4pm to 9pm Friday 4pm to 9pm Date you are available to start:* MM slash DD slash YYYY Do you have a reliable, insured car?* Yes No Are you familiar with smart phones, tablets, and other mainstream technology devices, namely iphones, ipads, and droids, and "smart devices" that use text (SMS, MMS), and email communication?* Yes No Do you have a data/text plan on your smart phone and are you prepared to use your data in order to perform some aspects of the work within - i.e. checking online staff and guest schedules?* Yes No Do you have regular access to the Internet and a printer?* Yes No Have you ever worked with reactive or aggressive cats?* Yes No Have you ever administered pills to resistant cats?* Yes No This job requires handling seafood and shellfish. Please mark yes if you understand that this is a requirement. [select* seafood/shellfish "none selected" "I understand" "I am allergic"] This job may require handling raw and cooked meat. Please mark yes if you understand that this is a requirement.* Yes, I understand No, I can not handle raw meat This job requires cleaning litter boxes. Please mark yes if you understand that this is a requirement.* Yes, I understand No, I can not clean litter box Are you currently employed or have another source of income?* Yes, I have another source of income No, I am not currently employed Will you be able to pass a drug test? We reserve the right to perform a drug test prior to the terms and conditions and as permitted by CT state law.* Yes No What is the highest level of schooling you've completed?* GED Equivalent High School Associates Bachelors Masters Other Are you willing to attend HCH continuing education? This may include feline behavior workshops, interactive pet health workshops, and company meetings 1x/month?* Yes No Please list and describe any previous professional or volunteer experience that you have had working with and/or handling animals.*Please list any pets you own and any special needs they may have. If none, simply put "none."*Please list your present employer if applicable, and your last two employers before that. Include how long at each job and your reason for leaving. Also include, verifiable contact information.*Please list 3 personal references whose pets you have taken care of in their absence. Please include the pet type, basic duties and verifiable contact info.*How much do you wish to make per week performing this job?* What three words best describe why you would be great at this job?* Why are you interested in this position?*Is there anything you would like to add about yourself, your experience, your goals, and your motivation both short and long term that may help us get to know you better?*Where did you discover our job advertisement?* NameThis field is for validation purposes and should be left unchanged.
