Dickson Vet Clinic Job Application
Please contact Nicole at dicksonvetclinic@gmail.com with any questions or to submit other relevant documentation.
Applicant Information
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth:
-
Month
-
Day
Year
Date
Position applying for:
*
Receptionist
Licensed Veterinary Technician
Veterinary Assistant
Are you seeking a full or part-time position?
*
Full Time
Part Time
How many years of experience do you have in the veterinary field?
*
Desired rate of pay per hour?
*
Are you currently employed?
*
Yes
No
Earliest Possible Start Date
*
-
Month
-
Day
Year
Date
What days of the week are you available to work? Clinic hours are Mon-Fri 8:00 am to 5:30 pm.
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Monday
Tuesday
Wednesday
Thursday
Friday
Do you have any restrictions that may keep you from fulfilling this positions' duties and/or schedule?
*
Do you have reliable transportation?
*
Yes
No
Do you have a high school diploma?
Yes
No
Year of high school graduation:
Please list any additional schooling in the box below- college/technical schooling
Do you have an active Veterinary Technician license in the state of TN?
Yes
No
Previous Employment:
Please list the last 2 places of employment below, most recent first
Most Recently Employed by:
*
Rate of pay per hour:
*
Dates employed:
*
Reason for leaving
*
My job responsibilities at this role included:
*
Venipuncture
Restraint of cats and dogs
Client Education
Anesthetic Monitoring
IV Catheter placement
Intubation of surgical patients
CPR for emergent animals
Customer Service
Answering multi-line phones
Email client correspondence
Messaging platform client correspondence
Assisting veterinarians with daily appointments
Surgical pack preparation
Client callbacks
Microscope skills: Fecals
Microscope skills: Urine Sediment
Microscope skills: Blood smears
Microscope skills: Ear cytologies
Other relevant information on my position at this employer
*
Prior employment by:
*
Dates employed:
*
Rate of pay per hour:
*
Reason for leaving
*
My job responsibilities at this role included:
*
Venipuncture
Restraint of cats and dogs
Client Education
Anesthetic Monitoring
IV Catheter placement
Intubation of surgical patients
CPR for emergent animals
Customer Service
Answering multi-line phones
Email client correspondence
Messaging platform client correspondence
Assisting veterinarians with daily appointments
Surgical pack preparation
Client callbacks
Microscope skills: Fecals
Microscope skills: Urine Sediment
Microscope skills: Blood smears
Microscope skills: Ear cytologies
Other relevant information on my position at this employer
*
Please list any relevant veterinary experience prior to last 2 employers in box below:
Professional References
Please list 2 professional references, no friends or family references.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Details on work experience with this reference:
*
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Details on work experience with this reference:
*
Cover Letter
*
Please do not exceed 200 words.
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Licenses, Certifications, or other relevant documents:
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You can share certificates, diplomas etc.
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I certify that the information on this application and its' supporting documents are accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Dickson Veterinary Clinic to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers to make full response to any inquiries in connection with this application for employment and release the company from all liability for any damage that may result from utilization of such information. If employed I understand that I will be required to furnish proof of eligibility to work in the United States.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
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