RVM/HVM Application for Employment

Application for Employment

Rowlett Veterinary Management & Heath Veterinary Management
It is the policy of Rowlett Veterinary Management (RVM) & Heath Veterinary Management (HVM) to provide equal employment opportunities without regard to race, sex, color, religion, creed, national origin, disability, veteran status, age or any other legally protected characteristics. This policy applies to all terms and conditions of employment, including the hiring process.
Personal Information
Name*

First NameMiddle InitialLast Name
Address*

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Email Address*
example@example.com
Cell Phone*

Area CodePhone Number
List other names by which you have been known
Referred By
Employment Desired
Position Desired*
Preferred Employment Type*
Preferred Employment Type*

Full TimePart Time
Date You Can Begin*

MonthDayYear
Date
Desired Salary*
Are you able to perform the duties for the job for which you are applying with or without reasonable accommodation?*

YesNo
Are you able to perform the duties for the job for which you are applying with or without reasonable accommodation?*

Education
High School Attended*
Name of High School and Location
Did you graduate?*

YesNo
Did you graduate?*
If not, how many years did you attend?
College Attended
Name of College and Location
Did you graduate?

YesNo
Did you graduate?
If not, how many years did you attend?
What kind of degree?
Please list any special courses, training or skills related to the position for which you are applying.

Employment History

List your employment history below, beginning with most recent. If you do not have employment history, use this section to list references and write reference on the reason for leaving line.

Employer 1
Company Name
Contact Person
Address

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Telephone

Area CodePhone Number
Email
example@example.com
Date Began

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Type of Business
Starting Salary
Ending Salary
Job Duties
Job Duties
Reason for leaving
Do you authorize RVM & HVM to contact the employer named above for a reference?
Do you authorize the employer named above to disclose information pertinent to your work history?
Type a question

I authorize Animal Hospital of Rowlett to contact the employer named above for a reference.I authorize the employer named above to disclose information pertinent to my work history.

Employer 2
Company Name
Contact Person
Address

Address

Street Address Line 2

City,State,ZipState / Province

Postal / Zip Code
Telephone

Area CodePhone Number
Email
example@example.com
Date Began

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Type of Business
Starting Salary
Ending Salary
Job Duties
Job Duties
Reason for leaving
Do you authorize RVM & HVM to contact the employer named above for a reference?
Do you authorize the employer named above to disclose information pertinent to your work history?
Type a question

I authorize Animal Hospital of Rowlett to contact the employer named above for a reference.I authorize the employer named above to disclose information pertinent to my work history.

Employer 3
Company Name
Contact Person
Address

Address

Street Address Line 2

City,State,ZipState / Province

Postal / Zip Code
Telephone

Area CodePhone Number
Email
example@example.com
Date Began

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Type of Business
Starting Salary
Ending Salary
Job Duties
Job Duties
Reason for leaving
Do you authorize RVM & HVM to contact the employer named above for a reference?
Do you authorize the employer named above to disclose information pertinent to your work history?
Reason for leaving

I authorize Animal Hospital of Rowlett to contact the employer named above for a reference.I authorize the employer named above to disclose information pertinent to my work history.

Employer 4
Company Name
Contact Person
Address

Address

Street Address Line 2

City,State,ZipState / Province

Postal / Zip Code
Telephone

Area CodePhone Number
Email
example@example.com
Date Began

MonthDayYear
Date
Date Ended

MonthDayYear
Date
Type of Business
Starting Salary
Ending Salary
Job Duties
Job Duties
Reason for leaving
Do you authorize RVM & HVM to contact the employer named above for a reference?
Do you authorize the employer named above to disclose information pertinent to your work history?
Type a question

I authorize Animal Hospital of Rowlett to contact the employer named above for a reference.I authorize the employer named above to disclose information pertinent to my work history.
Resume Upload*

Upload

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Criminal History:
During the past 7 years, have you been convicted of, or have you pled guilty or no contest to, a felony offense? If yes, please explain in the space below. (Answering 'yes' to this question will not automatically bar you from employment)?*

YesNo
During the past 7 years, have you been convicted of, or have you pled guilty or no contest to, a felony offense? If yes, please explain in the space below. (Answering 'yes' to this question will not automatically bar you from employment)?*
Have you ever been convicted of a criminal felony? (Do not include information about arrests that did not result in a conviction)*
Have you ever been convicted of a criminal felony? (Do not include information about arrests that did not result in a conviction)*

YesNo
If you answered "yes" to either of the above questions, please explain and identify for each: the nature of the charge, the date of conviction or trial, the court, county and final disposition (example: probation, deferred adjudication, fine, incarceration, etc.) Note: a "yes" answer will not necessarily bar you from employment

Medical Assessment

This form is used to gain a better understanding of your knowledge and personal values regarding animal medicine.
How many pets have you owned and what types?*
What are your personal views on spaying and neutering? What age would you recommend spaying/neutering? Are your personal pets spayed/neutered? *
What are your thoughts on vaccinations for pets? What vaccines are you familiar with?*
How do dogs/cats get heartworms? How can you prevent it?*
What is your preferred flea/tick prevention method for pets?*
What do you think about breeding dogs?*
What do you think about ear cropping/tail docking?*
What are your thoughts on humane euthanasia? *
Are you now or have you ever been a member of any animal rights group?*

YesNo
Are you now or have you ever been a member of any animal rights group?
If "Yes," please explain:

Application for Employment