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Humane Society of Clark County
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Applicant Information
Last name
*
First name
*
Email
Phone
*
Street Address
*
City
*
State
*
Zip Code
*
Social Security #
Desired salary
Position applied for
*
Available Start Date
Month
Month
Day
Year
Immediately
Are you legally authorized to work in the United States?
Yes
No
Have you ever worked for the Humane Society of Clark County before?
Yes
No
If yes, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain
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