Tech or Vet Assist. Job Application

Tech or Vet Assist. Job Application

Thank you for your interest in joining our team! Our full-time team members work four 10-hour shifts a week and NO WEEKENDS! :) We offer compassionate benefits including health insurance and paid time off. We're excited to hear from you!
Your Name*

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What days and times are you most available for a phone call?*
Email*
example@example.com
ImmediatelyTwo weeks after the job offerOther
Full Time (avg 40 hrs/week)Part Time (avg 20 hrs/week)Other
Do you have any scheduling or availability conflicts we should be aware of?
Skills Assessment

In the past year, how often have you performed these Technician Assistant skills?*

Rows	This is a new skill for me	I've done this 5-10 times, I could use some retraining.	I confidently know how to do this, I just do it infrequently.	I got this. I do it all the time.
Restrain a Dog for Treatments
Restrain a Cat for Treatments
Draw up vaccines

In the past year, how often have you performed these Rooms Tech or Vet Assist skills?*

Rows	This is a new skill for me	I've done this 5-10 times, I could use some retraining.	I confidently know how to do this, I just do it infrequently.	I got this. I do it all the time.
Obtain a concise medical history
Make preventative care recommendations
Read an Ear Cytology
Administer SQ fluids
Draw blood from a dog
Draw blood from a cat

In the past year, how often have you performed these Surgical Assistant skills?*

Rows	This is a new skill for me	I've done this 5-10 times, I could use some retraining.	I confidently know how to do this, I just do it infrequently.	I got this. I do it all the time.
Wrap instrument packs
Record Anesthetic Monitoring Data
Recognize normals from abnormals on anesthetic monitoring
Set up anesthesia machine & monitoring

In the past year, how often have you performed these Surgical Tech skills?*

Rows	This is a new skill for me	I've done this 5-10 times, I could use some retraining.	I confidently know how to do this, I just do it infrequently.	I got this. I do it all the time.
Place an IVC in a cat
Obtain full mouth dental radiographs
Intubate a dog
Intubate a cat
Scale, polish, and probe teeth
Administer dental blocks

Job History
Please describe your relevant work history. Include how long you were employed at each location and your primary roles and responsibilities.
REFERENCE #1: List name, phone number, and how you know this individual.
REFERENCE #2: List name, phone number, and how you know this individual.
REFERENCE #3: List name, phone number, and how you know this individual.
Certification
You hereby certify that all information provided in this application is truthful to the best of your knowledge. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Type your name as an electronic signature.
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Skills Assessment