Uplift.Vet Relief Vet Onboarding

Relief Vet Onboarding

✨We're excited to have you join our team of incredible veterinarians!✨
Thank you for choosing to work with our nonprofit that gives back to veterinary medicine! 💜

Know more about us in our website: 🌐 uplift.vet

Here are a few important steps to ensure smooth communication and timely support for you during your relief work.

Kindly complete and submit these documents at least 72 hours before your first shift.

If you are interested in our 10-year student loan forgiveness program please also fill out this form and the additional application here: 📝 https://link.www.ppivc.org/Application

If you encounter any issues in filling out this form, please send us an email at socials@virtualcare.vet or text our 24/7 text line at 423-207-3525

To get you started, we need the following from you 👉

1️⃣ of 8️⃣: Contact Information

The information collected below will be used solely for Uplift.Vet’s application evaluation and onboarding process. All details provided will be kept confidential and handled in accordance with our privacy policies.
Full Name*

First NameLast Name
Email*
example@example.com
Direct Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Work Days*
Preferred Hospitals*
Social Media Accounts
Please provide links to your personal and business social media profiles (e.g., Facebook, LinkedIn, Instagram, and other platforms). This allows us to invite you to our professional groups and communities. *

📄 2️⃣of 8️⃣: Required Documents – Sign & Submit
Your access to this service is subject to the Terms of Use and Privacy Policy below. Please review them carefully.
By checking this box, I confirm that I have read, understood, and agree to be bound by the Terms of Use and User Agreement, and I acknowledge and consent to the Privacy Policy.
If you’re interested in working shifts at Banfield locations, please also sign the Banfield Services Agreement below. Review the agreement carefully and complete all required fields. After signing, return to this Jotform to fill out items 3 through 7, then click the Submit button to complete the form.
Please note: This is a signable document that requires your signature. Kindly ensure this step is not overlooked. Click on "Start Filling" below to sign.
Yes, I confirm that I have read, understood, and signed the Banfield Veterinary Services Agreement.No, I will not work shifts at Banfield Pet Hospital locations.
IMPORTANT NOTE: PLEASE DO NOT SUBMIT FORM WITHOUT SIGNING THE EMBEDDED AGREEMENT ABOVE IF YOU WANT TO WORK FOR BANFIELD PET HOSPITAL

3️⃣ of 8️⃣ Veterinary License & Certification Details

✅ Please enter your veterinary license information. If you hold multiple licenses, you may add additional details as needed.
Please enter your veterinary license number/s, state of licensure, and expiration date*
Veterinary License Number*
State of Licensure*
Expiration Date*

MonthDayYear
Please enter your veterinary license expiry date
Additional Veterinary License (License No., State, Expiry Date)

4️⃣ of 8️⃣: Upload Additional Documents

✅ Please provide your DEA registration information and Professional Liability Insurance information and upload the following required documents:
✅ Please provide your DEA license details (license number, registration number, expiration date)*
DEA Registration Number*
Expiration Date*

MonthDayYear
Please enter your DEA license expiry date
Attach a copy of your valid DEA license.*

Please ensure that the file submitted clearly displays the DEA registration number.
Cancelof
✅ Please provide details about your Professional Liability Insurance (Insurance company name, policy number, expiration date)*
Professional Liability Insurance Company Name*
Expiration Date*

MonthDayYear
Please enter your PLI expiry date
Attach a copy of your current CERTIFICATE OF INSURANCE for your PLI.*

Please ensure that the file submitted clearly displays the policy and/or certificate number (See example below).
Cancelof
Attach a copy of your valid Passport or Driver’s License ID *

Cancelof
5️⃣ of 8️⃣: Professional References

Please provide at least one reference from a previous hospital where you were employed. Ideally, a practice manager or supervising veterinarian who can speak to your clinical skills and professionalism.
Reference Name*
Reference's Position*
Reference Hospital / Clinic Name*
Reference's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Reference's Email Address*
example@example.com
Years Worked Together*
YesNo
Additional References Contact Information

6️⃣ of 8️⃣: Mileage & Earnings Tracking Sheets

We have created a unique Mileage and Earnings Tracking sheet to help you with tax filing. This will be sent to your registered email so please check your inbox.
What is the maximum distance from your home that you are willing to travel for a shift (in miles)?*
Are there any additional counties or states you would like to add to your account? If so, please let us know.*

7️⃣ of 8️⃣: Gusto Self-Onboarding: Direct Deposit & Form W-9
Gusto is Uplift.Vet's payment system. To ensure you get paid on time and everything is set up properly, you should receive within 48 hours an email from Gusto with a link to complete your onboarding.
Individual (1099)Business (Corp)
Here’s what you’ll need to do on Gusto as soon as you receive the self-onboarding link. Please complete at least 7 days before your first shift:

If as an Individual
1. Click the link in the Gusto email.
2. Fill out your tax form (Form W-9). For individuals on a 1099, you will receive these tax forms in January of each year.
3. Enter your contact and payment details (bank info for direct deposit).
4. Submit everything securely through Gusto.
If as a Business
1. Click the link in the Gusto email.
2. Fill out your tax form (Form W-9). Check “S-corporation” as federal tax classification on Section 3a.
3. Enter your corporation’s contact info, EIN and payment details (bank info for direct deposit). The IRS does not require end of year tax statements to be sent to business.
4. Submit everything securely through Gusto.

8️⃣ of 8️⃣: Please list the individual who referred you. We are only taking applications from direct referrals.
Please provide the name of the individual who referred you. Include their professional designation (DVM, Practice Manager, etc.) and the company name and location they are associated with.*
Note: We are only accepting applications from direct referrals. Your application cannot be processed without the referral details.

📞 Additional Information & Support
For any urgent concerns, such as unforeseen cancellation of shifts, emergencies, or to confirm a relief schedule, please contact us via our Google Voice SMS line. We have DVM staff from the Philippines on standby to assist you 24/7. If you have overtime in a shift, please text by the end of day so we can modify your payment. If you have any suggestions to make our service more convenient for you, please reach out.

📌 Google Voice SMS Line: (423) 207-3525
📌 Support Available: 24/7 with DVM staff on standby

Thank you and have a wonderful day.

💬 Suggestions or Questions?
If you have any feedback to improve our services, please let us know.

✅ Final Submission

📌 Submission Acknowledgment
Important Next Steps: We may contact you by email or text to schedule a follow up interview, if needed. You will then receive instructions to register in our booking app, Connecteam.
I confirm that all provided information is accurate, and I have completed all required sections.
⚠️ Wait! Have you signed the Banfield Agreement?

If you plan to take shifts at Banfield Pet Hospital and have not yet signed the embedded document, please go back to Part 2 of 8 to complete it now. Your application cannot be processed for Banfield shifts without a signature.
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Relief Vet Onboarding

1️⃣ of 8️⃣: Contact Information

Social Media Accounts

📄 2️⃣of 8️⃣: Required Documents – Sign & Submit

3️⃣ of 8️⃣ Veterinary License & Certification Details

4️⃣ of 8️⃣: Upload Additional Documents

5️⃣ of 8️⃣: Professional References

6️⃣ of 8️⃣: Mileage & Earnings Tracking Sheets

7️⃣ of 8️⃣: Gusto Self-Onboarding: Direct Deposit & Form W-9

8️⃣ of 8️⃣: Please list the individual who referred you. We are only taking applications from direct referrals.

📞 Additional Information & Support

✅ Final Submission