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Potsdam Humane Society Employment Application

Potsdam Humane Society is an Equal Opportunity Employer.

Federal and State Law prohibits discrimination because of race, color, creed, religion, sex, sexual preference, national origin, age, marital status, disability, or veteran’s status and requires affirmative action in the employment of women, minorities, handicapped individuals, disabled veterans and veterans of the Vietnam Era.

To help us learn about your experience, abilities, and interest, please complete this Application for Employment thoroughly, even if you have also provided us with a resume. We will review your qualifications and will make every effort to reach a decision as quickly as possible.

BE SURE YOU READ ALL INSTRUCTIONS CAREFULLY, COMPLETE THE ENTIRE APPLICATION, AND SIGN. FAILURE TO COMPLETE THIS APPLICATION IN ITS ENTIRETY MAY DISQUALIFY YOU FOR CONSIDERATION.

Personal Information

Employability

Proof of citizenship or immigration status will be required upon employment.

Licenses

Military Service

Proof of military service will be required upon employment.

Criminal Convictions

A conviction does not automatically mean you cannot be appointed. What you are convicted of, and how long ago, are important. Give all the facts so that a decision can be made.

Medical

Your Job Interests

In many jobs, one or more of the following conditions are required, and inability to satisfy these work schedules may limit further consideration of your application. Please indicate whether you are able to perform:

Education Type

Employment Experience

No Choosen File
(Max 3 MB)

If not uploading a resume, please list your history starting with your most recent position. Include any periods in which you weren’t employed.

Include U.S. Military experience (show rank/rate at discharge), summer/part-time jobs, and cooperative assignments.

PERSONAL PRIVACY PROTECTION LAW

The information you submit on this application will be used to determine your qualifications for employment, and will be used in accordance with Section 96 (1) of the Personal Privacy Protection Law. Failure to provide the requested information may affect your employment status.

PRE-EMPLOYMENT SCREENING AUTHORIZATION

I hereby authorize the Potsdam Humane Society to conduct a pre-employment screening and authorize any former or present employer, credit bureau, military records center and school to provide the Potsdam Humane Society any and all information, including, but not limited to, information as to your character, habits, work, ability, and/ or claims, liabilities or damage.

AFFIRMATION

I affirm that all statements made by me on this form, including attached papers, are true and correct to the best of my knowledge. I understand that falsification or omission of information is cause for dismissal from employment.

I further understand that the Potsdam Humane Society is an At-Will Employer. At-Will Employment means I can leave the Potsdam Humane Society at any time, and the Potsdam Humane Society can terminate my employment at any time.

Your gift to the animals saves lives!

Your contribution to Potsdam Humane Society goes straight to work helping hundreds of animals. Even small donations make a difference. When we combine the generosity of the many animal lovers throughout the North Country, we can make a difference in the lives and welfare of our furry friends!

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Is this donation tax-deductible?

Your gift is tax deductible as per your local regulations, as we are a tax exempt organization. We will email you a donation receipt. Please keep this, as it is your official record to claim this donation as a tax deduction.

Can I cancel my recurring donation?

Of course. You always remain in full control of your recurring donation, and you’re free to change or cancel it at any time.