Employment Application Form

Please read the following prior to completing this application:

Equal Employment Opportunity

The Yavapai Humane Society (YHS) is committed to providing equal employment opportunities and a workplace free from unlawful discrimination or harassment of employees or applicants on the basis of race, religion, color, national origin, disability, age, sex, sexual orientation, marital status, availability for military service, or any other basis prohibited by federal, state or local law.

Accuracy and completeness of this form are important factors in determining acceptability for employment with YHS. Please be neat in completing this form and do so in your own handwriting or you may visit our website, www.yavapaihumane.org and fill out an electronic version. If you desire any assistance, please ask one of the Customer Service Associates at the front office or call 928-445-2666.

You may be requested to submit additional references, participate in additional interviews and supply needed information. All pre-employment inquiries are made for the purpose of establishing your qualifications for employment with the Yavapai Humane Society.

Your application will receive full evaluation and you will be considered in competition with other applicants for any vacant position for which you qualify. Completion of this application does not assure employment.

Conditions Related to Employment with YHS

• Drug and Alcohol Testing – The Yavapai Humane Society conducts pre-employment screening for illegal drugs. All offers of employment will be contingent on such screening and failure to pass the required test(s) will result in any employment offer with YHS being rescinded. If hired, you may be asked to submit to random, periodic testing for illegal drugs or testing for alcohol impairment or the presence of illegal drugs upon reasonable suspicion. This will be a condition of continued employment. Refusal to submit to an alcohol or drug screen will be cause for termination.

• Background Check – If offered employment with YHS, you will also be required, as a condition of the employment offer, to agree to a background check with the state of Arizona Judicial Branch Public Access (specifically court information and a case search). You will be asked to supply picture identification which includes your birth date in order for YHS to conduct the background check. Note: A conviction of a crime will not be an absolute disqualification to employment.

• Identity/Ability to Work – If offered employment with YHS, you will be required, as a condition of the employment offer, to submit proof of identity and legal right to work in the United States before your first day of employment. You must be able to comply with Federal I-9 laws as well as be approved through E-Verify.

• Driver’s License – If the position applied for requires driving on the job, you will be required to possess a current and valid Arizona driver’s license. Any offer of employment in which the position requires you to drive is contingent on your ability to be adequately covered by YHS’s auto insurance company.

By signing below:

I acknowledge that I have read and understand the Yavapai Humane Society’s Equal Employment Opportunity Policy and Conditions Related to Employment with YHS on page one.

The information I have provided within is complete and true to the best of my knowledge. I understand the discovery of any misrepresentation herein or omission of facts from here on will be cause not to hire me, or for my immediate termination if hired.

I hereby authorize YHS to investigate my records with my former employers, personal references, motor vehicle history, and Arizona State criminal history, maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application. I release YHS and informants from any liability whatsoever resulting from such an investigation.

I understand that any employment offered to me by the Yavapai Humane Society will be on a 90 day probationary basis. I agree to conform to YHS’s rules and regulations, and agree that my employment and compensation can be terminated, with or without cause, and without notice, at any time, at either my or YHS’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by YHS.