EVC Job Application

Eldora Veterinary Care Job Application

Tell us all about yourself!
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Position Applied For:*
Rate of Pay Expected (/hour):*
Are you seeking employment that is full-time or part-time?*

Full TimePart Time
Please explain your availability and ideal work schedule:*
Please explain your availability and ideal work schedule:*
Are you willing and able to work weekends? (Kennel assistants are generally expected to work every other weekend)*

YesNo
Are you willing and able to work holidays? (Kennel assistants are expected to work holidays, generally on an alternating basis according to individual needs/desires - approximately every other holiday).

YesNo
When are you available to start working? *

MonthDayYear
Date
All jobs at Eldora Veterinary Care require workers to be at least 16 years old. Some positions have a minimum age requirement of 18 years. Are you at least 16 years old?*

YesNo
Are you at least 18 years old?*

YesNo
Do you have a valid driver's license?*

YesNo
Have you ever worked under a different name? If yes, please provide the name:*

YesNo
Previous name, if applicable:
The DEA requires us to ask this of every applicant:
Within the past five years, have you been convicted of a felony, or within the past two years, of any misdemeanor or are you presently formally charged with committing any criminal offense? (Do not include any traffic violations, juvenile offenses or military convictions, except by general court martial.) If the answer is yes, furnish details of conviction, offense, location, date and sentence.*

YesNo
If Yes, provide details:
In the past three years, have you ever knowingly used narcotics, amphetamines or barbiturates, other than those prescribed to you by a physician?*

YesNo
If Yes, provide details:

Personal References (people who know you well, but aren't family*

	Name	Relationship	Contact Number
Reference 1
Reference 2

Education History

	School Name	Degree	Years Attended	Did you graduate?
High School
College/University
Other

The Tricky Questions

not that tricky actually
Why do you want to work at a veterinary clinic? *
What experience you have being around and working with animals? *
Please describe any experience you have working with customer service.*
Work at the clinic tends to be fairly physical. Are you capable of lifting a 40lb dog onto an exam table?*

YesNo, but I can explainNo
Work at the clinic may have you doing everything from helping with the animals to cleaning up urine in the waiting room, scooping poop in the back yard, playing with boarding pets, assisting with surgery, answering the phone to getting clients a cup of coffee. Are you comfortable learning all aspects of the practice and pitching in wherever needed?*

YesNo, but I can explainNo
If a dog who is boarding eats 1/2 can of food three times a day. How many cans does the owner need to leave with the dog to be sure he doesn't run out if the dog is boarding for 5 full days? *
Computer Literacy

All positions at the clinic require a lot of computer usage
Do you type:*

QuicklySlowlyNot at all
Are you good with computers?*

YesNoOther
Have you ever used a fax machine?*

YesNo
Have you ever used a scanner (of documents, not a police scanner)?*

YesNo
Work History
Tell us everything about your three most recent jobs. Include the name of the company, your direct supervisor's name and phone number, dates of employment, rate of pay when you started and when you left, and your reason for leaving. Describe your job duties - bonus points if they're relevant to the work you'd be doing at the clinic. If you are still employed there, please indicate whether we can contact your supervisor for a reference.
Most Recent Job
Second Most Recent Job
Third Most Recent Job
Certification and Signature
I understand that any verbal or written statement that is false, fraudulent or misleading that is contained in this application or made in the course of any related employment process will result in rejection of my application, denial of employment, or dismissal from service if discovered after employment. I certify that all statements contained herein are true and complete. I understand that if hired, I must prove that I am legally authorized to work in the United States. I authorize Eldora Veterinary Care to check employment references and verify education information provided on this employment application and as disclosed in the interview process. I release Eldora Veterinary Care and all providers of information from any liability as a result of furnishing and receiving any information related to the hiring process.
Signature

Clear
Should be Empty:

Eldora Veterinary Care Job Application

The DEA requires us to ask this of every applicant:

The Tricky Questions

Computer Literacy

Work History

Certification and Signature