Lake Dow Animal Hospital Employment Application
Date of Application
*
/
Month
/
Day
Year
Date
Name
*
Email
*
example@example.com
Cell Phone #
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a citizen of the United States?
*
If no, are you authorized to work in the US?
Position Applying for
*
Receptionist
Technician
Kennel Assistant
Applying for
*
Full Time (40+ Hours per Week)
Part Time
Date First Available
*
/
Month
/
Day
Year
Date
If Part Time, Availability (Hours per week)
Qualifications for Position
Desired Start Salary
Education
High School
*
Start Date
*
MM/YYYY
End Date
*
MM/YYYY Put Current if still attending
Did you graduate?
*
College
Start Date
MM/YYYY
End Date
MM/YYYY Put Current if still attending
Did you graduate?
Other
Start Date
MM/YYYY
End Date
MM/YYYY
Did you graduate?
Previous Employment (within past 5 years)
Company Name
Job Title
Start Date
End Date
Name of Supervisor
Reasoning for Leaving
Company
Job Title
Start Date
End Date
Name of Supervisor
Reasoning for Leaving
Company
Job Title
End Date
Start Date
Supervisor
Reasoning for Leaving
Experiences and References
Experience with animals outside of personal pets
References (Please list 3 non-relatives)
Name
Company
Phone #
Name
Company
Phone #
Name
Company
Phone #
Any Additional Comments to Consider with Application
Resume
Upload Your Resume
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Preview PDF
Submit
Should be Empty: