Employment Application

I am over 18 years old. *
Hours: *
Position applying for: * Select all that apply
First Name: *
Last Name *
Address *
City *
State *
ZIP *
Phone *
Email
Do you have reliable transportation? *
If no, please explain.
What days are you available to work? * Select all that apply
What hours are you available to work? *
Date you can start if hired: *
If needed, are you available to work overtime? *
Do you have any friends, relatives, or acquaintances working for FCHS? *
If yes, state name and relationship *
Do you have any condition which would require job accommodations? * (Note: FCHS complies with the ADA and considers reasonable accommodations may be necessary for eligible applicants/employees to perform essential functions.)
If yes, please describe
Are you a U.S. Citizen approved to work in the United States? *
Have you ever been convicted of a criminal offense (felony or misdemeanor)? * (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense, the nature of the offense, including any significant details that may affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position applied for may, however, be considered.)
If yes, please state the nature of the crime(s), when/where convicted and disposition of the case
What skills do you possess that will enable you to work in a fast-paced, highly stressful job? *
Describe your customer service experience *
Describe your animal care/knowledge. *
Previous Employer 1: * List Dates Employed, Title/Position, Company Name/Address/Phone, Reason for Leaving
Previous Employer 2: List Dates Employed, Title/Position, Company Name/Address/Phone, Reason for Leaving
Would you like to add more work history?
Previous Employer 3: List Dates Employed, Title/Position, Company Name/Address/Phone, Reason for Leaving

AT-WILL EMPLOYMENT
The relationship between you and the FCHS is referred to as “at-will”. This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you, or the FCHS. No representative of the FCHS has authority to enter into any agreement contrary to the foregoing” employment at will” relationship. You understand that your employment is “at will” and you acknowledge that no oral or written statements or representations regarding your employment can alter your “at will” employment status.
By clicking submit you acknowledge and agree.