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Airport Animal Hospital Employment Application
Date:
APPLICANT INFORMATION:
Name: Phone:
Address:
Drivers License or ID #:
Hours You Are Available To Work:
If this will be your second job what hours do you work at your first employer?
Position Wanted: Desired Salary:
Date You Can Start:
EDUCATIONAL BACKGROUND:
High School: Graduated: YES - NO - GED (circle one)
College: Graduated: YES - NO (circle one)
Any other schooling or training:
WORK HISTORY: (begin with most recent)
Employer: From / To /
Address:
Title & Duties:
Salary: Hours Per Week:
Reason For Leaving:
Can We Contact Them For A Reference? Phone #:
Employer: From / To /
Address:
Title & Duties:
Salary: Hours Per Week:
Reason For Leaving:
Can We Contact Them For A Reference? Phone #:
Employer: From / To /
Address:
Title & Duties:
Salary: Hours Per Week:
Reason For Leaving:
Can We Contact Them For A Reference? Phone #:
Have You Ever Worked For A Veterinarian Before? YES NO
Do You Have Your Own Personal Vehicle? YES NO
Have You Ever Been Convicted Of A Felony? YES NO
If So Please Explain:
Have You Ever Been Discharged By An Employer? YES NO
If So Please Explain?
Do You Own Any Pets?
Would You Have Any Difficulty Lifting A 35 lb Dog Into A Cage 4 ft off the Floor? YES NO
Do You Have a Fear Of Needles? YES NO
Would You Have Difficulty Dealing With Blood/Urine/Feces? YES NO
Would You Have a Problem With Euthanasia ?(only for very sick patients) YES NO
Do You Have Any Experience With Computers, Customer Service, Or Phones? YES NO
Do You Have Any Animal Related Experience?
Breifly Tell Us A Little Bit About Yourself:
Certification Statement:
This application does not constitute a written employment agreement.
In the event that the applicant agrees to accept a position with the company, the applicant agrees that the employment relationship between the company and the employer is an at-will relationship and that the employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the company or the employee.
I certify that the information contained in this application is correct. If the company determines that any of the information submitted in this application is false, I shall be immediately disqualified from consideration for employment and/or discharged from employment in accordance with company policy.
I hereby grant permission to the company to investigate the information contained in this application and release the company and any agents or other persons acting on behalf of the company from any and all liability relating to any investigation of the information contained in this application.
Signature of applicant Date
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