Application for Employment (EAC)

Personal Information
Today's Date
MM slash DD slash YYYY
Your Name*
First Last
Your Address*
Street Address City State ZIP Code
Primary Phone Number*
Secondary Phone Number
Your Email*
Are you 18 years of age or older?*
Are you a US Citizen or do you have a legal right to work in the United States?*
Please explain if no
Do you speak a language other than English?*
If so, what other language?*
How would you rate your language skills?*
Position Information
I am applying for*
Wage Expected*
Enter Hourly Rate*
Enter Salary Rate*
I am available to start on
MM slash DD slash YYYY
I heard about this position from
Have you applied to ADL before?
Have you worked previously for ADL
What was your position?
Who was your manager?
Start Date Of Employment
MM slash DD slash YYYY
End Date Of Employment
MM slash DD slash YYYY
Education Information
High School Name
High School Location
High School Start Date
MM slash DD slash YYYY
High School End Date
MM slash DD slash YYYY
Did you graduate?
Did you attend college?
College Name
College Location
College Start Date
MM slash DD slash YYYY
College End Date
MM slash DD slash YYYY
Did you graduate?
Employment Experience
List any special skills or certifications you have:
Have you been a member of the US Armed Forces?
List branch, rank, and service dates:
Have you ever been convicted of a crime?*
Please list details including, date incarceration and type of conviction:*
Why do you want to work for ADL?
References
2 References must be work-related
HOW MANY REFERENCES*
Reference 1
Name*
First Last
Phone*
How do you know this person?*
Reference 2
Name*
First Last
Phone*
How do you know this person?*
Reference 3
Name*
First Last
Phone*
How do you know this person?*
Reference 4
Name*
First Last
Phone*
How do you know this person?*
Reference 5
Name*
First Last
Phone*
How do you know this person?*
Past Employment Information
Previous Positions*
First Employment
EMPLOYER NAME*
MANAGER NAME*
POSITION HELD*
EMPLOYMENT START DATE*
MM slash DD slash YYYY
EMPLOYMENT END DATE*
MM slash DD slash YYYY
SALARY/WAGE*
REASON FOR LEAVING*
Second Employment
EMPLOYER NAME*
MANAGER NAME*
POSITION HELD*
EMPLOYMENT START DATE*
MM slash DD slash YYYY
EMPLOYMENT END DATE*
MM slash DD slash YYYY
SALARY/WAGE*
REASON FOR LEAVING*
Third Employment
EMPLOYER NAME*
MANAGER NAME*
POSITION HELD*
EMPLOYMENT START DATE*
MM slash DD slash YYYY
EMPLOYMENT END DATE*
MM slash DD slash YYYY
SALARY/WAGE*
REASON FOR LEAVING*
Supporting Documents
Cover Letter
Max. file size: 50 MB.
Résumé
Accepted file types: pdf, doc, docx, Max. file size: 8 MB.
Digital Signature
All positions at the Animal Defense League work directly with dogs and cats and work outdoors in all temperature and climate conditions and require walking, climbing, lifting up to 50 pounds, cleaning and exposure to cleaning products. Can you perform the essential job functions:*
If no, please explain:
I certify that all of the information submitted by me on this application is true and complete and I understand that if any false information, omission, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to all company rules, regulations and policies and I agree that my employment and compensation can be terminated with or without cause by the company at any time.*
- Checkbox Denotes My Signature
I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.*
- Checkbox Denotes My Agreement To The Above Statement
Electronic Signature Date*
MM slash DD slash YYYY
Electronic Signature*

Type full name
Name
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