Application for Employment
Name:
*
First Name
Middle Initial
Last Name
Preferred Pronouns
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Email:
*
Are you over 18 years of age?
*
Yes
No
What is your age?
Position you are applying for:
*
Desired Pay:
*
*
Full-Time
Part-Time
Interested Position:
*
Client Service Representative
Veterinary Assistant
Veterinary Technician
Veterinarian
Interview Availability:
Comments:
Available Start Date:
*
-
Month
-
Day
Year
Hours Available:
*
Days Available:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Educational History
High School Diploma/GED?
*
Yes
No
What is the last grade completed?
University, College, Business, Technical and/or Trade School Education:
Employment History
Professional References
*
To the best of my knowledge, all of the information on this application is true and correct. I authorize Sand Creek Animal Hospital to use the information given in determining my eligibility for employment, including contacting each of my former employers and/or references listed concerning my qualifications for employment. I understand that fraudulent statements made in this application may cause for disqualification for employment at, or dismissal from, Sand Creek Animal Hospital.
Signature:
*
Date:
*
-
Month
-
Day
Year
Date
Please upload a copy of your resume.
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