Narcoossee Oaks AH - Employment Application

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We do not discriminate on the basis of race, religion, national origin, color, sex, veteran status, or disability. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
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Personal
Social Security #
Date
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Name
Last Name
First Name
Middle Name
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Cell #
Email
Position Applied For
Rate of Pay Expected $
Please Select
Please Select
Part Time
Full Time
Applying For:
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What is your weekly availability?* This field is required.
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Were you previously employed by this organization?
Yes
No
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If yes, when?
9
List any friends or relatives working here
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If your application is considered favorably, on what date will you be available to work?
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Are there any other work experiences that you feel would especially fit you working here? Please add any additional comments that you feel are important for us to consider.
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If you are applying for a job with minimum age requirements, you may be required to submit proof of age.
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Personal References(not including former employees or relatives)
Name and Occupation
Address
Phone Number
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Membership in Professional or Civic Organizations(do not include racial, religious, or nationality groups)
Name and description of organization
From
To
Offices Held
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Name and description of organization
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Education Record(Non-Veterinarians only)
Name of School
GPA
Honors
Awards
High School
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College or University
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Other
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High School
College or University
Other
Name of School
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GPA
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Honors
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Awards
Row 0, Column 3
Name of School
Row 1, Column 0
GPA
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Honors
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Awards
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GPA
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Honors
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Awards
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Do you have computer skills?
YESNO
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If yes, check programs you are familiar with:
Excel
Word
Quickbooks
Other
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Do you have veterinary computer software experience?
YESNO
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If yes, what programs do you have experience with?
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Work History(Begin with the most recent)
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Description of Duties
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Add additional work history?
Yes
No
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#2 Work History
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Description of Duties
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Add additional work history?
Yes
No
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#3 Work History
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Description of Duties
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I affirm the above information is true and correct to the best of my knowledge
Clear
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