Employment Application

WE ARE HIRING FOR

Kennel Tech

Position Overview:

Jessamine County Animal Care & Control is in need of a Kennel Tech. We offer competitive pay and excellent benefits packages.

The Kennel Tech is responsible for:

proper shelter cleaning and maintenance.
providing food and water to all animals as scheduled at the shelter.
Assisting in the daily operations, including recognizing the need for veterinary care and/or treatment.

Starting pay for Kennel Techs is $14.25 hourly.

JESSAMINE COUNTY FISCAL COURT

Employment Application

Courthouse
101 N. Main Street
Nicholasville, KY 40356

An Equal Opportunity Employer

"*" indicates required fields

Step 1 of 3

33%

Title of Position for which you are applying*

When can you begin work?*

Are you willing to work:*

Any Shift

Day Shift Only

Night Shift Only

Alternating Shifts

Check One:*

Permanent

Part-time

Temporary

Seasonal

Name*

First Middle Last Maiden Name (if any)

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Number of years at above address:

Phone*

Are you a U.S. Citizen?*

Yes

Social Security Number:

Have you been convicted of any felony, violation or misdemeanor as an adult (age 18 and over)?*

Yes

If yes list below. A conviction includes any fines paid; probation served; or jail sentences (omit parking tickets, include moving violations). Conviction of a crime is not an automatic rejection. The specific situation will be reviewed. Failure to reveal information on this question is a cause for automatic rejection.

Have you ever applied for employment with Jessamine County Fiscal Court?*

Yes

If yes, when?

MM slash DD slash YYYY

Are you now or have you previously been employed by Jessamine County Fiscal Court? If yes, list date, department and job title

Date

Department

Job Title

Whom would you prefer we notify in case of an accident or emergency?

Name

Address

Phone No.

Whom would you prefer we notify in case of an accident or emergency?

Name

Address

Phone No.

EDUCATION AND TRAINING: Give complete information for ALL of your education and training. The information requested in this item will serve as a basis for the rating of your training. If necessary, attach an additional sheet. If you have completed college work you must attach a transcript of all completed work.

List any machinery or office equipment you can operate:

Can you type?*

Yes

WPM

Can you take dictation?*

Yes

WPM

Do you have a driver’s license?*

Yes

Driver’s License No.

Schools

High School or GED

Name and Address of School

Major Course Work

Degree (if completed)

College University

Name and Address of School

Major Course Work

Degree (if completed)

College University

Name and Address of School

Major Course Work

Degree (if completed)

Vocational or Business

Name and Address of School

Major Course Work

Degree (if completed)

Military

Name and Address of School

Major Course Work

Degree (if completed)

Circle Highest Grade Completed

High School
9
10
11
12

College
1
2
3
4

Graduate School
1
2
3
4

Beginning with most recent position, please describe in detail each specific job (especially experience which qualifies you for position sought). It is very important that you describe your duties and responsibilities of each position held. A résumé of your background may be attached.

Company Name

Company Address

Type of Business

Starting Date (month/year)
Month
Day
Year

Leaving Date (month/year)
Month
Day
Year

Name of Immediate Supervisor

Approx. Starting Base Salary

Final Base Salary

Supervisors Position Title

Starting Position Title

Present or Last Position

Phone Number

Explain reason for leaving or wanting to leave

Please describe your duties and responsibilities

May we contact your present employer now?
Yes
No

If no, when?

Company Name

Company Address

Type of Business

Starting Date (month/year)
Month
Day
Year

Leaving Date (month/year)
Month
Day
Year

Name of Immediate Supervisor

Approx. Starting Base Salary

Final Base Salary

Supervisors Position Title

Starting Position Title

Present or Last Position

Phone Number

Explain reason for leaving or wanting to leave

Please describe your duties and responsibilities

Company Name

Company Address

Type of Business

Starting Date (month/year)
Month
Day
Year

Date
Month
Day
Year

Name of Immediate Supervisor

Approx. Starting Base Salary

Final Base Salary

Supervisors Position Title

Starting Position Title

Present or Last Position

Phone Number

Explain reason for leaving or wanting to leave

Please describe your duties and responsibilities

IF ADDITIONAL SPACE FOR WORK HISTORY IS NEEDED, SPECIAL SHEETS WILL BE PROVIDED UPON REQUEST.

MILITARY EXPERIENCE
(explain duties here)

Entry Date
Month
Day
Year

Separation Date
Month
Day
Year

Branch of Service

Rank at Separation

Present Selective Service Classification

LICENSES OR CERTIFICATION

If a license, or other authorization to practice a trade or profession is relevant for the position for which you are applying, complete the following:

Name of Trade or Profession

License Number

Granted by (Licensing Agency)

Address of Licensing Agency

I hereby certify, under penalty of law, that the information contained on this form is true, and complete to the best of my knowledge and belief. I am aware that should investigation at any time show any such misrepresentation or falsification, my application will be rejected, my name will be removed from the eligible list, and I will be dismissed from service. I authorize the Jessamine County Fiscal Court to make all necessary and appropriate investigations to verify the information contained herein and to verify my transcripts as needed with the university or college concerning my achieved education. I understand that my application will be on file for six months only. It is my responsibility to update and reactivate my application as I understand I will not be notified my application has expired. I also understand that when my application has expired it will be removed from the Jessamine County Fiscal Court files along with all other data relating to my application.

Date*
Month
Day
Year

Signature of Applicant*

REQUEST FOR RECORD CHECK

BY:
Jessamine County Fiscal Court
Office of County Judge/Executive Courthouse
Main Street Nicholasville, KY 40356

Date of Request
Month
Day
Year

THIS SECTION TO BE COMPLETED BY APPLICANT (PLEASE PRINT)

NAME*
First Middle Last

PRESENT ADDRESS*
Street Address City State / Province / Region ZIP / Postal Code Country

MOST PREVIOUS ADDRESS:
Street Address City State / Province / Region ZIP / Postal Code Country

DESCRIPTION

SEX:*

RACE:

DATE OF BIRTH:
Month
Day
Year

SOCIAL SECURITY:

DRIVERS LICENSE NO.:

STATE:

EXP. DATE
Month
Day
Year

THIS SECTION TO BE COMPLETED BY LAW ENFORCEMENT AGENCY OR COURT OF JUSRISDICTION

CRIMINAL CONVICTIONS
YES
NO

TRAFFIC CONVICTIONS
YES
NO

AT-FAULT ACCIDENTS
YES
NO

Note: IF "YES" ON ANY OF THE ABOVE, PLEASE GIVE DETAILS, DATES, ETC., IN SPACE BELOW:

Date
Month
Day
Year

SIGNED

Name
First

RANK OR TITLE

AGENCY NAME
(address correction requested)

TO BE COMPLETED BY APPLICANT:

Name*
First
I have applied for employment with the Jessamine County Fiscal Court. Please fill in the middle of the reverse side of this form and return it to the Jessamine County Fiscal Court, Office of the Judge/Executive, Courthouse, Main Street, Nicholasville, Kentucky.
This will authorize your agency to disclose to the Jessamine County Fiscal Court, Nicholasville, Kentucky, any and all information in your office's possession pertaining in any way to me and any convictions of any felony, misdemeanor, or violation that I have had as an adult.

SIGNATURE OF APPLICANT*

DATE*
Month
Day
Year

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120 Fairground Way, Nicholasville, KY 40356, United States

Email Us

Employment Application

Kennel Tech

JESSAMINE COUNTY FISCAL COURT

Schools

REQUEST FOR RECORD CHECK

TO BE COMPLETED BY APPLICANT:

Get In Touch

CONTACT

120 Fairground Way, Nicholasville, KY 40356, United States

Jessamineacc@jessamineco.com

859-881-0821

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HOURS

Copyright © 2024 Jessamine County Animal Care & Control. All rights reserved. AD-IOS

Monday	11:00 AM - 5:00 PM
Tuesday	11:00 AM - 5:00 PM
Wednesday	CLOSED
Thursday	11:00 AM - 5:00 PM
Friday	11:00 AM - 5:00 PM
Saturday	10:00 AM - 3:00 PM
Sunday	CLOSED