Long Meadow Veterinary Clinic Employment Application
  • Long Meadow Veterinary Clinic Logo with color blocks, dog and cat outline, name of clinic.

  • 27104 US-290 #107 Cypress, TX 77429  (281) 304-0039 www.animalernwh.com

    Stillwater Veterinary Group, LLC (DBA Animal ER of Northwest Houston), hereafter referred to as Animal ER of Northwest Houston or the employer, is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, disability, or veteran status. Please fill out the entire application, and do not leave questions blank. If a question is not applicable you may enter “NA”.

  • Basic Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • When Will You Be Willing To Work? (Select all that apply)*
  • Eligibility: Are you a US citizen or otherwise authorized to work in the U.S. on an unrestricted basis?*
  • Date of Birth: (documentation required for legal age restrictions)*
     / /
  • Have you had your driver’s license revoked or suspended in the last 3 years?
  • Have your ever been convicted of a misdemeanor, felony, or subjected to a deferred adjudication on any charge? If your answer is "yes", please submit a separate sheet of paper explaining in detail the situation including: dates and nature of offense, the name and location of the court, and the disposition of the case(s). A conviction may disqualify you, but falsifying the information on the application will disqualify you automatically.*

  • Educational Background Information

  • Please include all education from high school until present day including certificates/degree’s achieved, participation in skill based training programs, and any education currently in progress.

  • Have You Completed Any Additional School or Formal Training?
  • Have You Completed Any Additional School or Formal Training?
  • Have You Completed Any Additional School or Formal Training?
  • Have You Completed Any Additional School or Formal Training?
  • Do you have any of the following specific licenses or certifications relevant to this application

  • Previous Employment or Volunteer Information

  • Have You Been Employed, Participated in Formal Training, or Volunteered in a Small or Mixed Animal Veterinary Clinic Previously?

  • Please list your places of employment starting with your most recent employer. You may include additional positions if you feel they are relevant. You may include volunteer positions or positions that were part of your education or training even if unpaid.

  • Have You Been Employed or Volunteered for a Position Previously?
  • Format: (000) 000-0000.
  • May We Contact Employer #1?
  • Have You Worked or Volunteered Anywhere Else?
  • Format: (000) 000-0000.
  • May We Contact Employer #2?
  • Have You Worked or Volunteered Anywhere Else?
  • Format: (000) 000-0000.
  • May We Contact Employer #3?
  • Have You Worked or Volunteered Anywhere Else?
  • Format: (000) 000-0000.
  • May We Contact Employer #4?
  • Have You Worked or Volunteered Anywhere Else?
  • Format: (000) 000-0000.
  • May We Contact Employer #5?

  • Skills and Knowledge Self Reflection

  • Please assess yourself in each of the following catagories in the manner most consistent with your current skills/knowledge in each area. All experience levels will be considered, but this will assist us in your placement, training, and scheduling if selected for a position.

  • Basic Skills

  • Other Communication Skills

  • Do you speak a language other than English?

  • Small Animal Medical/Health Skills and Knowledge:

  • References:

  • Please provide at least 2 references who are not family members. You may provide additional.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Would You Like To Provide Additional References?
  • Format: (000) 000-0000.
  • Would You Like To Provide Additional References?
  • Format: (000) 000-0000.
  • Would You Like To Provide Additional References?
  • Format: (000) 000-0000.

  • Statements of Acknowledgement and Submission

  • You can print out a copy of this application after you submit it. Your application will be digitally submitted and kept in a secure location regardless of your employment status.

    Please read the following statements completely and initial each statement. Your initials and signature on this application indicates your understanding and acceptance of these statements. If you have any questions or concerns about this application or these statements please address them with Logan Erck BEFORE signing this application.

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