EMPLOYMENT APPLICATION JFC

Name

First NameLast Name

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

What position(s) are you applying for?

Veterinary AssistantCertified Veterinary TechnicianReceptionistHigh school student

Hours you are looking for:

Full time onlyPart time onlyFull or part time as needed

Are there any days/times you are NOT available to work?

What date can you start employment here?

What hourly wage do you expect?

Please do not write "negotiable" with no amount

Are you available to work nights, weekends and fill in when other staff are out?

Why do you want to work at Just For Cats specifically?

What are your career goals in the next 2-5 years?

Have you been convicted of a felony or misdemeanor, or are you presently/ formally charged with committing any criminal offense?

If yes to the above question please furnish details of conviction, offense, location, date, and sentence.

In the past three years have you knowingly used any narcotics, amphetamines, or barbiturates, other than prescribed to you by a physician? If yes furnish details.

YesNo

Do you currently use illegal substances?

YesNo

Do you smoke?

YesNo

Do you agree to take and to pass periodic routine drug tests?

YesNo

Have you ever been terminated from a job because of stealing or any other criminal conduct?

YesNo

Please list the pets you own

Who is their current veterinarian?

Are all your pets up to date with their routine recommended care?

YesNo

Would you be willing to provide Just for Cats a copy of your pets' veterinary records for review?

YesNo

Are you comfortable being non-judgmental, and supportive of clients on controversial topics?

YesNo

High School:

Year graduated?

College and degree obtained if attended:

Other training/classes/licenses or certifications:

How much would you charge a client for 12 cans of cat food if they were $1.50 each? blanks
If the doctor prescribes a cat 1 1/2 tablets every 12 hours for a total of 5 days, how many tablets would you dispense? blank

Please complete the following-
4+12+33= blanks
$5 x 6%= blank

Leave this field blank

Define the word euthanasia

Define the word parasite

Define the word spay

Several clients have called to schedule appointments. Hospital policy states that food and water should be removed by 12:00am the night before any procedure requiring anesthesia. Pick which procedures which the owners should be informed to take up the food and water.

Please attach your cover letter and resume

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EMPLOYMENT APPLICATION JFC

Please fill out the following assessment

Thank you!