PETCARE Animal Hospital

PETCARE Animal Hospital

Job Application
Personal Information
Name (Legal)*

First NameLast Name
Phone Number*
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Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Application Information
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Position You Are Applying For: (Select All That Apply)*

VeterinarianReceptionist, Full TimeReceptionist, Part TimeVeterinary Nurse, Full TimeVeterinary Nurse, Part TimeHospital Assistant, Full TimeHospital Assistant, Part Time
Date Available to Start

MonthDayYear
Date
Desired Wage/Salary*
Are You 18 Years or Older?*

YesNo
Are You a Citizen of the United States?*

YesNo
If Not, Do You Have a Legal Work Permit?*

YesNoI am a Citizen of the US
Have You Worked at PETCARE Previously?*

YesNo
Have You Ever Pleaded "Guilty" or "No Contest" or Been Convicted of a Crime Other Than a Non-Violent Misdemeanor?*

YesNoNot Applicable
Education
Have You Graduated from High School?*

YesNoGED
What Year Did You Graduate High School?*
Have You Attended a Technical School/University/College?*

YesNoStarted, but Did Not Finish
If Applicable, Which Technical School/College/University Did You Attend?
Work History

Please List Your Work History With the MOST Recent Employment First
Most Recent Work Experience - Business Name*
Most Recent Work Experience - Position Held *
Most Recent Work Experience - Dates Employed *
Most Recent Work Experience - Dates Employed *
Most Recent Work Experience - Responsibilities of Job*
Most Recent Work Experience - Manager Name*
Most Recent Work Experience - Manager Phone Number
Most Recent Work Experience - May We Contact Your Previous Employer?*

YesNo
Most Recent Work Experience - Reason for Leaving*
Job Related Experiences

	0 - No Experience At All	1	2	3	4	5 - Very Experienced
Anesthesia
Client Relations
Reception Experience - Answering Phones, Emails +
Computer Skills
Preventative Health Care
Orthopedic Surgery
Dentistry - Radiographs/Clean/Scale/Polish/Fluoride Teeth
Digital Radiography
Soft Tissue Surgery
Ultrasound
Laboratory
Drawing Blood
Filling Prescriptions/Pharmacy
Patient Care
Alternative Medication, including Acupuncture
Patient Care - Exotics
Patient Care - Pocket Pets
Boarding
Grooming
Janitorial Experience
Behavioral Counseling

Describe Any Special Skills or Qualifications. Please Include Any Job-Related Interests of Yours*
Community Service, Animal Welfare Work, Hobbies, or Pertinent Special Interests*
Please be aware that every position offered at PETCARE requires frequent movement, handling of animals (restraint), lifting and bending (up to 50lb). These positions are not a stationary position. Every position is also required to work every other weekend, including both Saturday AND Sunday.
Certification
To the best of my knowledge, I acknowledge that the information contained in this application are true and correct. I authorize you to make such investigations and inquires of my personal, employment, educational and other pertinent matters as may be necessary for an employment decision. I hereby release employers, schools, and individuals from any and all liability when responding to inquiries regarding this application. In the event of my employment at PETCARE Animal Hospital, I understand that misleading and/or false information given during the application or interview process can result in discharge or other action
Signature*

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Personal Information

Application Information

Education

Work History

Job Related Experiences

Certification