Equine Medical Associates, PSC Veterinary Assistant Application Form
Please Fill Out the Form Below to Submit Your Application!
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Earliest Possible Start Date
*
/
Month
/
Day
Year
Date
Are you over the age of 18?
*
Yes
No
Are you looking for full-time or part-time employment?
*
Full-time
Part-time
Highest level of education completed
*
Highschool
Some college
Undergraduate
Other
Do you have any problems with being exposed to equine veterinary procedures that may or may not include blood, tissue, and/or animal waste?
*
Yes
No
Other
Please describe your previous horse experience:
*
Please describe your previous veterinary experience:
*
Being a veterinary assistant can be a physically demanding job. Can you comfortably lift 50 pounds?
*
Yes
No
Rate your organization level from 1-5
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Rate your verbal and written skills from 1-5
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Rate your ability to work effectively under pressure from 1-5
*
Significantly affects me
1
2
3
4
Does not affect me
5
1 is Significantly affects me , 5 is Does not affect me
Reference #1 (Name; Phone number; Relation)
Reference #2 (Name; Phone number; Relation)
*
Reference #3 (Name; Phone number; Relation)
*
Cover Letter
Please do not exceed 200 words.
Upload Resume
*
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