Employment Application The Stone County Humane Society is looking to hire a part-time employee (12-18 hours/week). This job is very fast paced and physically demanding. It involves a lot of bending, heavy lifting and scrubbing. Please do not apply if you are not prepared for this type of work. The job consists of cleaning inside and outside kennels, scooping feces from yards, cleaning the cat cottage, administering meds to both dogs and cats, walking dogs, and socializing cats.Hours are two shifts/day: 8am to 11am AND 2pm to 5pm. You must be 21 years old to apply, have a reliable vehicle, reliable child care, and live in or near the city of Mountain View. If interested in this position, please complete the Employment Application below. You may contact SCHS with any questions at schs@yelcot.net or 870-269-5200. Name*FirstLast Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Phone*United States+1Afghanistan+93Albania+355Algeria+213American Samoa+1684Andorra+376Angola+244Anguilla+1264Antigua and Barbuda+1268Argentina+54Armenia+374Aruba+297Australia+61Austria+43Azerbaijan+994Bahamas+1242Bahrain+973Bangladesh+880Barbados+1246Belarus+375Belgium+32Belize+501Benin+229Bermuda+1441Bhutan+975Bolivia+591Bosnia and Herzegovina+387Botswana+267Brazil+55British Indian Ocean Territory+246British Virgin Islands+1284Brunei+673Bulgaria+359Burkina Faso+226Burundi+257Cambodia+855Cameroon+237Canada+1Cape Verde+238Caribbean Netherlands+599Cayman Islands+1345Central African Republic+236Chad+235Chile+56China+86Christmas Island+61Cocos (Keeling) Islands+61Colombia+57Comoros+269Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243Congo (Republic) (Congo-Brazzaville)+242Cook Islands+682Costa Rica+506Cote d'Ivoire+225Croatia+385Cuba+53Curacao+599Cyprus+357Czech Republic+420Denmark+45Djibouti+253Dominica+1767Dominican Republic+1Ecuador+593Egypt+20El Salvador+503Equatorial Guinea+240Eritrea+291Estonia+372Ethiopia+251Falkland Islands+500Faroe Islands+298Fiji+679Finland+358France+33French Guiana+594French Polynesia+689Gabon+241Gambia+220Georgia+995Germany+49Ghana+233Gibraltar+350Greece+30Greenland+299Grenada+1473Guadeloupe+590Guam+1671Guatemala+502Guernsey+44Guinea+224Guinea-Bissau+245Guyana+592Haiti+509Honduras+504Hong Kong+852Hungary+36Iceland+354India+91Indonesia+62Iran+98Iraq+964Ireland+353Isle of Man+44Israel+972Italy+39Jamaica+1876Japan+81Jersey+44Jordan+962Kazakhstan+7Kenya+254Kiribati+686Kosovo+383Kuwait+965Kyrgyzstan+996Laos+856Latvia+371Lebanon+961Lesotho+266Liberia+231Libya+218Liechtenstein+423Lithuania+370Luxembourg+352Macau+853Macedonia+389Madagascar+261Malawi+265Malaysia+60Maldives+960Mali+223Malta+356Marshall Islands+692Martinique+596Mauritania+222Mauritius+230Mayotte+262Mexico+52Micronesia+691Moldova+373Monaco+377Mongolia+976Montenegro+382Montserrat+1664Morocco+212Mozambique+258Myanmar (Burma)+95Namibia+264Nauru+674Nepal+977Netherlands (Nederland)+31New Caledonia+687New Zealand+64Nicaragua+505Niger+227Nigeria+234Niue+683Norfolk Island+672North Korea+850Northern Mariana Islands+1670Norway (Norge)+47Oman+968Pakistan+92Palau+680Palestine+970Panama+507Papua New Guinea+675Paraguay+595Peru+51Philippines+63Poland+48Portugal+351Puerto Rico+1Qatar+974Reunion+262Romania+40Russia+7Rwanda+250Saint Barthelemy+590Saint Helena+290Saint Kitts and Nevis+1869Saint Lucia+1758Saint Martin+590Saint Pierre and Miquelon+508Saint Vincent and the Grenadines+1784Samoa+685San Marino+378Sao Tome and Principe+239Saudi Arabia+966Senegal+221Serbia+381Seychelles+248Sierra Leone+232Singapore+65Sint Maarten+1721Slovakia+421Slovenia+386Solomon Islands+677Somalia+252South Africa+27South Korea+82South Sudan+211Spain+34Sri Lanka+94Sudan+249Suriname+597Svalbard and Jan Mayen+47Swaziland+268Sweden (Sverige)+46Switzerland+41Syria+963Taiwan+886Tajikistan+992Tanzania+255Thailand+66Timor-Leste+670Togo+228Tokelau+690Tonga+676Trinidad and Tobago+1868Tunisia+216Turkey+90Turkmenistan+993Turks and Caicos Islands+1649Tuvalu+688U.S. Virgin Islands+1340Uganda+256Ukraine+380United Arab Emirates+971United Kingdom+44United States+1Uruguay+598Uzbekistan+998Vanuatu+678Vatican City+39Venezuela+58Vietnam+84Wallis and Futuna+681Western Sahara+212Yemen+967Zambia+260Zimbabwe+263Aland Islands+358 Address* Street Address City State / Province / Region Postal / Zip Code Are you allergic to dogs or cats?*NoAllergic to dogsAllergic to cats Are you willing to work two weekends (both Saturday and Sunday) a month? *YesNo Are you able to tolerate loud noises such as barking? *YESNO Are you able to tolerate strong smells (urine, feces, bleach)?*YESNO Are you able to work outside in extreme weather, heat, cold, snow, ice, rain?*YESNO Are you able to lift a 50 lb bag of dog food? You will be required to do this. *YESNO Do you have difficulty bending often, stooping, scrubbing floors or walking distances?*YESNO Do you agree to have all your pets at home current on vaccinations and spayed/neutered?*YESNO Do you have any physical or medical limitations/needs to disclose?*YESNO If YES, please explain: Have you ever been arrested, charged or convicted of a crime?*YESNO If YES, please give details: Do you have any previous job experience with animals?*YesNo If yes, please describe. Please list the last 2 jobs you held. Include Company Name, your duties/title, name and phone number of Supervisor at that job* I have answered all these questions truthfully.*I Agree DateSubmitReset