Job Application

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APPLICATION FOR EMPLOYMENT

Young-Williams Animal Center
3201 Division Street
Knoxville, TN 37919

Applicants are considered for all positions without discrimination on the basis of race, sex, color, religion, national origin, age, disability or veteran status in employment opportunities or benefits.

Personal Data:
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
Country:
City:
State:
Zip/Postal Code:
E-mail:
Home Phone Number:
Cell Phone Number:
Business Phone Number:
Date:

Job Applied For:
Title of Desired Position 1:
Full Time Part Time
Title of Desired Position 2:
Full Time Part Time
Expected Salary ($):
When Can You Start?:
Your Age (If Under 18):
Are you legally eligible for employment in the U.S. ?:	Yes No
Proof of citizenship or immigration status will be required upon employment.

Legal Disclosure:
The information requested below is needed for a legally permissible reason, including but not limited to, a legitimate occupational qualification or business necessity. Have you been convicted of, or plead guilty to, a crime in the past ten years which has not been annulled, expunged, or sealed by a court?
Yes No
If yes, describe in full

Education History:
	High School/GED	College/University	Other
Name and Location
Course of Study
Diploma/Degree
Other specialized training or skills:

Resume:

(You may copy and paste your resume into this area)

Education History:
REFERENCES - List only persons not related to you.
Name/Occupation	Address	Phone Number

Employment History:
Are you currently employed?	Yes No

Start with your current or most recent employer. Include military service assignments and volunteer activities. If you attached a resume, it may not substitute for completing this section.

Employer:
May We Contact?:	Yes No
Phone:
Supervisor's Name:
Street/Mailing Address:
City:
State:
Zip/Postal Code:
	Starting Date	Ending Date
Date Employed:
Reason for Leaving:
Job Title/Work Duties:
	Starting Salary	Ending Salary
Base Salary:

Employer:
May We Contact?:	Yes No
Phone:
Supervisor's Name:
Street/Mailing Address:
City:
State:
Zip/Postal Code:
	Starting Date	Ending Date
Date Employed:
Reason for Leaving:
Job Title/Work Duties:
	Starting Salary	Ending Salary
Base Salary:

Employer:
May We Contact?:	Yes No
Phone:
Supervisor's Name:
Street/Mailing Address:
City:
State:
Zip/Postal Code:
	Starting Date	Ending Date
Date Employed:
Reason for Leaving:
Job Title/Work Duties:
	Starting Salary	Ending Salary
Base Salary:

Employer:
May We Contact?:	Yes No
Phone:
Supervisor's Name:
Street/Mailing Address:
City:
State:
Zip/Postal Code:
	Starting Date	Ending Date
Date Employed:
Reason for Leaving:
Job Title/Work Duties:
	Starting Salary	Ending Salary
Base Salary:

By entering my Social Security Number below: I certify that the answers and information provided by me in this application for employment are true, correct, and complete to the best of my knowledge. I understand that if employed, any false or misleading information or omission of fact given in my application or interview(s) may result in discharge. I authorize investigation of all information contained in this application for employment as may be necessary in arriving at an employment decision. I understand this application is not, and is not intended to be, a contract for employment. Social Security Number: All Applicants: The information below is requested solely for the purpose of determining compliance with Federal Civil Rights Law and your response will not affect consideration of your application. By providing this information, you will assist us in assuring that this program is administered in a nondiscriminatory manner.

I prefer not to provide this information. (Refusal to provide this information will not subject you to any adverse treatment.)

Date of Birth:

Sex:	Male Female

Ethnicity:	Hispanic or Latino Not Hispanic or Latino

Race (select one or more):
American Indian or Alaska Native	Asian	Black or African American	Native Hawaiian or Other Pacific Islander	White