The Humane Society of Harford County, Maryland

Employment
Application for Employment

Step 1 of 5

20%

PERSONAL INFORMATION
Full Name*
PrefixFirstLastSuffix
(include middle initial with first name)
Address*
Street AddressAddress Line 2CityStateZip Code
Home Phone*
Business Phone
Email*
Can you prove your U.S. Citizenship?*
- Yes
- No
If not a U.S. Citizen, please provide the following:
Visa No.*
Visa Expiration Date*
Position You Are Applying For*
Title
Salary
Referred By
Date Can Start*

EDUCATION RECORD
High School (Name, City, State)*
Graduation Date*
Business or Technical School (Name, City, State)
Dates Attended
Degree Earned
Undergraduate College (Name, City, State)
Dates Attended
Degree, Major
Graduate School (Name, City, State)
Dates Attended
Degree, Subject

WORK HISTORY
Give information about your last 3 jobs, starting with the most recent.
EMPLOYER 1
- Please check and provide details
Employer*
Dates Employed*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone*
Ending Salary*
Titles/Duties*
Manager's Name and Title*
Reason for Leaving*
EMPLOYER 2
- Please check and provide details
Employer*
Dates Employed*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone*
Ending Salary*
Titles/Duties*
Manager's Name and Title*
Reason for Leaving*
EMPLOYER 3
- Please check and provide details
Employer*
Dates Employed*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone*
Ending Salary*
Titles/Duties*
Manager's Name and Title*
Reason for Leaving*

BUSINESS REFERENCES
If applying for your first job, you may use academic references.
Name (1)
FirstLast
Phone
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Relationship to You
Name (2)
FirstLast
Phone
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Relationship to You
Name (3)
FirstLast
Phone
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Relationship to You

PLEASE READ AND SIGN

"UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100."
Signature*
FirstLast
Date*

Location:
2208 Connolly Road
Fallston, MD 21047
(410) 836 - 1090
(410) 877 - 3788 - fax

Click Here for Directions

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Contact Us:
Click Here for a full list of contact emails, including administration, adoption, volunteering, fostering and general care.

Hours:
LOBBY HOURS (reclaiming lost pets, turn over of strays)

Mon - Fri

10:00 am - 6:00 pm

Saturday

10:00 am - 5:00 pm

Sunday

12:00 pm - 4:00 pm

SHELTER HOURS (viewing animals and adoption as well as the above)

Mon - Fri

11:00 am - 6:00 pm

Saturday

10:00 am - 5:00 pm

Sunday

12:00 pm - 4:00 pm

News & Events:

Check out our calendar for the latest information on upcoming events and what's going on here at the shelter.

Newsletter:
View / Print our Newsletter

Applications:
ADOPTION
Dog Adoption Application
Cat Adoption Application
Small Critters Application

FOSTER CARE
Foster Care Application

VOLUNTEER
Volunteer Application

Step 1 of 5

PERSONAL INFORMATION

EDUCATION RECORD

WORK HISTORY

BUSINESS REFERENCES