Colony VH - Employment Form

1
Colony Veterinary Hospital Application for Employment

"Treating Your Pets Like Family"
2
What is your Name?* This field is required.
3
Date of birth* This field is required.
Date
Year
Month
Day
4
What is your E-Mail?* This field is required.
example@example.com
5
Phone Number* This field is required.
6
Position applying for?* This field is required.
Registered Veterinary Technician
Veterinary Assistant
Receptionist
7
If hired, can you provide evidence of legal eligibility to work in the U.S.?* This field is required.
Yes
No
8
Are you 18 years of age or older?* This field is required.
Yes
No
9
Date you can begin work* This field is required.
Date
Year
Month
Day
10
Availability to Work* This field is required.
Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm
Saturday 9am - 2pm
11
Employment Type* This field is required.
Full Time
Part Time
12
Wage/Salary Desired
13
Are you presently enrolled in school?
No
Yes - Part Time
Yes - Full Time
14
Name of college or technical school attended
15
List any job-related skills or accomplishments, including military service: Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
16
Employment Information
Employer
Dates Employed
Job Title
Reason for Leaving
#1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
#2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
#3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
#1
#2
#3
Employer
Row 0, Column 0
Dates Employed
Row 0, Column 1
Job Title
Row 0, Column 2
Reason for Leaving
Row 0, Column 3
Employer
Row 1, Column 0
Dates Employed
Row 1, Column 1
Job Title
Row 1, Column 2
Reason for Leaving
Row 1, Column 3
Employer
Row 2, Column 0
Dates Employed
Row 2, Column 1
Job Title
Row 2, Column 2
Reason for Leaving
Row 2, Column 3
1 of 3
17
References
Name #1
Phone Number
Name #2
Phone Number
Name #3
Phone Number
Should be Empty:

Colony Veterinary Hospital Application for Employment