HUA Employment Application Name(Required) First Last Phone(Required)Email(Required) Age(Required) Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How long have you lived there? Do you have a valid driver's license?(Required) Yes No Are you a US Citizen?(Required) Yes No If not, can you provide proof of eligibility to work in the US? Yes No What days/hours are you available to work? Are you available to work weekends and/or holidays?(Required) Yes No Have you ever worked with animals before?(Required) Yes No If so, please explain: Would you submit to a drug test, if asked?(Required) Yes No Have you ever been arrested?(Required) Yes No If so, please state the charge, date and location. Do you have any criminal convictions, either misdemeanors or felonies?(Required) Yes No If so, please state nature of the conviction, date and location. Places of Current or Past EmploymentEmployer #1(Required) Location(Required) Position(Required) Start Date(Required) End Date(Required) Currently Employed?(Required) Yes No If not, please explain reason for leaving Employer #2 Location Position Start Date End Date Currently Employed? Yes No If not, please explain reason for leaving Employer #3 Location Position Start Date End Date Currently Employed? Yes No If not, please explain reason for leaving Explain any gaps in employment(Required) Personal ReferencesReference #1 Name(Required) Relationship(Required) Phone(Required) Reference #2 Name(Required) Relationship(Required) Phone(Required) Do we have permission to contact current and/or past employers or references? Yes No Upload ResumeMax. file size: 40 MB.BY SUBMITTING THIS FORM YOU ARE STATING THAT YOUR ANSWERS ARE TRUE AND ACCURATE. ANY ANSWERS FOUND TO BE FALSE COULD BE GROUNDS FOR IMMEDIATE DISMISSAL:(Required) I agreeCAPTCHACommentsThis field is for validation purposes and should be left unchanged.
