Please list the days and hours you are available to work. Be as specific as possible (e.g., Monday: 8:00 AM–5:00 PM).

Please list your educational background, including the name and location of each school, college, university, or training program attended, as well as the degree earned, diploma, certification, or field of study. Include your most recent education first.

Please list any special skills, certifications, licenses, training, volunteer experience, or areas of specialized knowledge that would be beneficial in an animal shelter environment. Examples include animal handling, animal behavior, veterinary or veterinary assistant experience, customer service, cleaning and sanitation, computer skills, bilingual abilities, leadership experience, fundraising, maintenance, or any other skills relevant to the position for which you are applying.

Please provide your employment history, beginning with your current or most recent employer. For each position, include the employer’s name, city and state, supervisor’s name, phone number, your job title, dates of employment (month/year to month/year), average hours worked per week, a brief description of your job duties and responsibilities, your reason for leaving, and whether we may contact that employer. Include all relevant employment for the past 10 years (or your last 3 employers).

Please provide 2–3 professional references, including their full name, relationship to you, phone number, and email address.

I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or omitted information may result in the rejection of my application or, if employed, disciplinary action up to and including termination of employment. I authorize Gloucester-Mathews Humane Society (GMHS) to investigate all statements contained in this application. I authorize GMHS to contact the references, current and former employers, educational institutions, and any other individuals or organizations listed in this application to verify the information I have provided. I authorize these individuals and organizations to release any information concerning my employment, qualifications, and character that may be relevant to my application. I release GMHS and all persons or organizations providing such information from any liability arising from the release or use of this information, to the extent permitted by law. I understand that, if hired, my employment with GMHS is at will, meaning that either I or GMHS may terminate the employment relationship at any time, with or without notice and with or without cause, subject to applicable law. I further understand that no representative of GMHS has the authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the at-will employment relationship unless such agreement is in writing and signed by the Shelter Manager, Executive Director or another authorized representative of GMHS. By signing below, I acknowledge that I have read, understand, and agree to the statements above.