Sandhills Spay Neuter Veterinary Clinic (SNVC) Application for Employment

Sandhills Spay Neuter Veterinary Clinic (SNVC) Application for Employment
Name *

First Name Middle Name
*

Last Name Previous/Maiden Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Cell Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Are you eligible to work in the United States? *

Yes No
What are your career goals for the next 2 years? *
Have you ever been convicted of a felony, or misdemeanor or are you presently/formally charged with committing any criminal offense? (Do not include any traffic violations) *

Yes, I have been convicted of a felony and/or misdemeanor No, I have never been convicted of a felony and/or misdemeanor
If you answered yes to the previous question, please explain.
Do you use illegal drugs? *

Yes No
Do you agree to take and pass periodic drug tests? *

Yes No
Have you ever been terminated from a job because of stealing or other criminal conduct? *

Yes No
Please list all the pets that you own: (include names, species, and age) *
Who is your current veterinarian? *
Are all of you Pets up to date with all of their routine recommended veterinary care? *

Yes No
POSITION/AVAILABILITY
Position Applying For: Please select all that apply. *

Veterinary Assistant/Technician Kennel Assistant Surgical Instrument Sterilization Assistant Client Service Specialist Appointment Coordinator Veterinarian/Surgeon
Availability: Please select all that apply. *

Year Round Permanent Seasonal Temporary
How soon are you available to start at Sandhills SNVC? *

Month Day Year
Date
Hours you are interested in: *
If applying for part time only, how many hours a week are you available for?
What salary range are you seeking? *
Please let us know more about why you are interested in working at Sandhills SNVC. *
Please rate your experience with the following programs:
Personnel Leadership: Please choose one answer. *

Extremely Comfortable/Expert Very Good Good Little to no experience
Microsoft Word *

Extremely Comfortable/Expert Very Good Good Little to no experience
Microsoft Excel *

Extremely Comfortable/Expert Very Good Good Little to no experience
Avimark Veterinary Software *

Extremely Comfortable/Expert Very Good Good Little to no experience
Client Communications In Person and/or On the phone *

Extremely Comfortable/Expert Very Good Good Little to no experience
EDUCATION
Degree or grade level attained: *
GPA: *
Awards and/or educational accomplishments: *
Skills and Qualifications: (Licenses, skills, training, certifications) *
Current or Most Recent Employer:
Name *

First Name Last Name
Date of employment from: blanks* (mm/yy) To:blank*
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current/Most Recent Employer Phone Number *
Please enter a valid phone number.
Position Title *
Duties while at this employer: *
Reason you left/are leaving this position: *
Hourly rate of starting pay: blanks* . Ending rate of pay: blank .
May we contact your Present Employer? *

Yes No
Please list two previous employers and contact information. Please include reasons for leaving those positions. *
Is there anything else you would like us to know when considering your application? *
REFERENCES
#1 Reference *

First Name Last Name
Relationship to you: *
Phone Number *
Please enter a valid phone number.
How long has this reference known you? *
#2 Reference *

First Name Last Name
Relationship to you: *
Phone Number *
Please enter a valid phone number.
How long has this reference known you? *
Please include your resume if you have it available at this time:

Cancel of
- I understand that any verbal or written statementthat is false, fraudulent, or misleading that is contained in this application or attached materials, or made in the course of any related employment process, whether made by me or by others at my request, will result in rejection of my application
- I certify that all statements contained herein are true and complete.
- I understand that if hired, I must prove that I am lefally authorized to work in the United States.
- I authorize Sandhills Spay Neuter Veterinary Clinic-SNVC, to check my employment references and verify education information provided on this employment application and as disclosed in the interview process.
- I authorize Sandhills Spay Neuter Veterinary Clinic-SNVC to run a criminal background check as a condition of employment.
- I release SNVC and all providors of information from any liability as a result of furnishing and receiving any information related to the hiring process.
Applicant Signature *

Clear
Application Date Submitted: *

Month Day Year
Date
Should be Empty:

Sandhills Spay Neuter Veterinary Clinic (SNVC) Application for Employment

POSITION/AVAILABILITY

Please rate your experience with the following programs:

EDUCATION

Current or Most Recent Employer:

REFERENCES