Print, fill-in blanks, attach resume, sign, and return to: MAPPAR, W6591 CTH P, Pardeeville, WI 53954. 

Name:
Address:
City: State: Zip:

Phone with area code:
Day: Eve:
E-Mail Address: 

If hired, would you have a reliable means of transportation to and from work? Yes No

Are you at least 18 years old (if under 18, hire is subject to required work permits) Yes No

If hired, can you present evidence of your U.S. citizenship or proof of legal right to work? Yes No

Why do you want to volunteer or work for Midwest Animal and Potbellied Pig Association & Rescue?

Location Applying For:
Pardeeville, WI Sanctuary or Adoption Center-"Furburbia"   Madison, WI Satelite Adoption Centers  Either, but I would prefer

Position or Department Applying For:

Please list your desired positions numerically from 1-17 (1 being most desired position) *Some of these positions may not be available now but will be at a later date*

__Adminisitrative Assistant

__Adoption Counselor

__Animal Medical Services Assistant

__Animal Groomer

__Care Staff Assistant

__Critter Cuddler

__Customer Service Representative

__Farm Hand (Can be a "live-at-the-Sanctary" opportunity)

__Feline Friend

__Foster Friend

__Gift Shop Volunteer

__"Greeter"

__Laundry and Dishes

__Love-a-Pet

__PetSmart and other Satelite Adoption Centers

__Sanctuary Building and Grounds Maintenance

__Special Events/Media Activities

__Tour Guide

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accomdation (please see job listing for specific job requirements): Yes No

If not, please describe functions that cannot be performed:

Are you vegetarian or vegan?
Yes, Vegetarian Yes, Vegan No

If you are not vegan, please note that MAPPAR's Farm Sanctuary requires strict adherence to veganism while on Sanctuary property. Do you think you would be comfortable working in this type of environment?
Yes No

Please feel free to submit and refer to your resume for any of the following questions

Please list all education and training (Name of Institution, City & State, # of years completed, Did you graduate?, List degree or diploma earned)

Please list any prior volunteer experience relevant to the position you are applying for:

Please complete the section for the position or department you are applying for:

SHELTER DEPARTMENT:

Shelter job requirements include heavy lifting, ability to work with large animals, and flexible work schedule, including weekend or evening hours.

Please describe any previous experience working with animals:

Please describe any previous farm and equipment experience:

ADMINISTRATIVE DEPARTMENT:

Administrative job requirements include phone skills, computer skills, willingness to assist with misc. administrative projects including data entry and bulk mailing.

Please describe all previous computer experience:

Please describe any other relevant clerical experience:

OTHER DEPARTMENTS:

Please describe any previous experience relevant to this position:

Please explain briefly your personal beliefs on animal rights/welfare and veganism:

FOR ALL APPLICANTS - PLEASE USE THIS SPACE FOR ANY ADDITIONAL NOTES OR COMMENTS:

Employment History

List all present and past employers starting with the most recent (last three employers are sufficient).

Name of Employer:
Phone:
Type of Business:
Supervisor's Name:
Address:
Dates of Employment: From to
Your Position and Duties:
Reason for Leaving:
May we contact this employer for a reference? Yes No

Name of Employer:
Phone:
Type of Business:
Supervisor's Name:
Address:
Dates of Employment: From to
Your Position and Duties:
Reason for Leaving:
May we contact this employer for a reference? Yes No

Name of Employer:
Phone:
Type of Business:
Supervisor's Name:
Address:
Dates of Employment: From to
Your Position and Duties:
Reason for Leaving:
May we contact this employer for a reference? Yes No

REFERENCES

Please list three persons not related to you who have knowledge of your work performance within the last five years. All applicants are also welcome to submit written letters of recommendation.

Name:
Phone:
Address:
Occupation:
# of Years Known:

Name:
Phone:
Address:
Occupation:
# of Years Known:

Name:
Phone:
Address:
Occupation:
# of Years Known:

Please read carefully, and check the box below:

I certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I understand that omission or misstatement of material fact on this application may be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize MAPPAR to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (unless otherwise noted on application) and authorize the references I have listed to disclose to MAPPAR any information related to my work records without giving me prior notice of this disclosure. I release MAPPAR from any claims, demands, or liabilities arising out of or related to this disclosure.

I understand that nothing contained in this application or conveyed in any interview is intended to create an employment contract between me and MAPPAR.

I agree to the above statements I do not agree to the above statements. Please print and mail to: MAPPAR, W6591 CTH P, Pardeeville, WI 53954.

Signed:__________________________________________________________

Date:____________________________________________________________