Application for Employment
An Equal Opportunity Employer. We do not discriminate on the basis of race, religion, national origin, color, sex, age, 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. Aspen Grove Veterinary Care will conduct a background check, including employment history, on all applicants. Please provide all requested information. Incomplete applications will not be processed.
Date
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-
Month
-
Day
Year
Date
Name
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First Name
Last Name
Birthdate
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MM/DD/YYYY
Social Security Number
***-**-****
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Are you eligible to work in the United States?
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Yes
No
Have you ever been convicted on a felony?
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Yes
No
Have you ever been treated for a drug or alcohol addiction? A 'yes' answer does not automatically disqualify you from employment. The offense date and the job for which you are applying will be considered. A false answer is grounds for immediate termination.
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Yes
No
Job Information
Date available to start
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-
Month
-
Day
Year
What position(s) are you applying for?
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Veterinary Technician
Certified Veterinary Technician
Kennel Technician
Client Services Representative (CSR)
Veterinary Technician Assistant
Desired Salary
*
If your desired salary is negotiable, please give a salary range.
References
Please list three professional references; including at least one supervisor.
Reference Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Reference Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Reference Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Cover Letter & Resume
Please submit both a cover letter and your resume
*
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Acknowlegment
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I certify that all information provided in the application and resume provided is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in termination if discovered at a later date. I understand that the employer may request an investigative consumer report from a consumer reporting agency and/or criminal background check. These reports may include information as to my character, reputation, personal characteristics and mode of living obtained from neighbors, friends, former employers, schools and others. I understand that I have the right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted) past employers, and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYEMENT OR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME, IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYEMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE. I have read, understand, and by my signature consent to these statements.
Signature
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Submit
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