Employment Application Veterinary Technicians and Veterinary Assistants

Employment Application Veterinary Technicians and Veterinary Assistants
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Age*
Sex*
Height*
Birthday*

MonthDayYear
Married*

YesNo
Children

YesNo
Spouse’s Name
Spouse’s employer
Position desired*

Full timePart time
Part time hours*
Salary desired*
When could you start work?*
Type(s) of animals owned*
High School graduated from*
Year graduated*
College education*
Year graduated*
Major*
Extra curricular activities (clubs, organizations, church, hobbies, memberships, etc.)*
Work history for the past 5 years

Most recent one first
Employer*
Date of employment*
Address*
Phone*
Reason for leaving*
Current rate of pay*
Benefits*
Can we contact your current employer for references?*
Add Another Work History?*

YesNo
Work History #2
Employer*
Date of employment*
Address*
Phone*
Reason for leaving*
Current rate of pay*
Benefits*
Can we contact your current employer for references?*
Add Another Work History?*

YesNo
Work History #3
Employer*
Date of employment*
Address*
Phone*
Reason for leaving*
Current rate of pay*
Benefits*
Can we contact your current employer for references?*
Have you ever been arrested for anything?*

YesNo
If so, please explain.*
REFERENCES

Do not list friends, relatives
Name
Address
Phone
Relationship
Add Another References?

YesNo
References #2
Name
Address
Phone
Relationship
Add Another References?

YesNo
References #3
Name
Address
Phone
Relationship
What 3 words best describes your personality?*
List 3 things about your previous job(s) that you really liked*
List 3 things about your previous job(s) that you disliked.*
What experiences have you had with animals in the past? *
What experiences have you had working with the public?*
What experiences have you had in sales? *
How would you handle a client upset over services?*
What experiences have you had using computers? *
What experience have you had dealing with money?*
Have you had any previous problems with missing work?*
How would you handle an aggressive dog? *
What do you consider your best subject was in high school or college?*
What do you consider your worst subject was in H.S. or college?*
List any other experiences and/or skill sets that makes you feel qualified for this job on the below.*
Are you a registered veterinary technician? *

Veterinary Assistant/Technician's Benefits:
Employee Benefits

1 Day Off Per Week
Paid Holidays (8 Total)
Paid Vacation
Staff Discount on Services/Prescriptions

Staff Samples (Heartworm/Flea/Tick Prevention)
Annual Bloodwork for Pets
Bonus Pay
Flexible Schedule

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Employment Application Veterinary Technicians and Veterinary Assistants

Work history for the past 5 years

Work History #2

Work History #3

REFERENCES

References #2

References #3