SNVC Job Application 2024

Personal Information:

Name*

First NameLast Name

Middle NamePrevious/Maiden Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number or Preferred Contact Number*

Please enter a valid phone number.

Alternate Contact Number

Please enter a valid phone number.

Email*

example@example.com

Are you eligible to work for any employer in the US?*

YesNo

What are your career goals for the next 5 years?*

Have you been convicted of a felony, or misdemeanor or are you presently / formally charged with committing any criminal offense? (Do not include any traffic violations, juvenile offenses, military convictions, except by general court martial.)*

Yes, I have been convicted of a felony and/or misdemeanorNo, I have never been convicted of a felony and/or misdemeanor

If yes, please provide details of conviction, offense, location, date, and sentence.*

In the past three years, have you ever knowingly used any narcotics, amphetamines, barbiturates, or other illegal drugs, other than those prescribed to you by a physician?*

YesNo

If yes, please explain*

Do you smoke?*

YesNo

Do you agree to take and pass periodic drug tests?*

YesNo

Have you ever been terminated from a job because of stealing or other criminal conduct?*

YesNo

Due to fact that staff members and volunteers frequently have to work in close proximity to each other, SNVC is requiring all incoming staff and volunteers to be fully vaccinated against COVID or have begun the vaccination series prior to start of employment with intent to finish the series within 1 month. Please choose which of the following applies to you.*

I am fully vaccinated against COVIDI have started the vaccination process against COVIDI have not yet been vaccinated against COVID, but am willing and able to be vaccinated prior to employmentI have not been vaccinated against COVIDI have not been vaccinated against COVID at the recommendation of my physician. (Medical exemption)

Please list all the pets that you own: (include names, species, and age)*

Who is your current veterinarian?*

Are all of you Pets up to date with all routine recommended veterinary care?*

YesNo

Position/Availability:

SNVC has multiple surgical locations that we are interviewing for. What location are you interested in being considered for? You can select more than one. Employees at the Fayetteville location may be asked to fill in at the Lumberton location on occasion.

FayettevilleLumbertonNo Preference

Primary position applying for:*

If interested in multiple positions, please enter additional positions you wish to apply for below

Additional position(s) applying for:

Availability:

Year RoundPermanent SeasonalTemporary

Please describe any limitations on your availability*

What date are you available to start work?*

Please provide the specific date you will be available from:*

Date

Work schedule you are interested in:*

Part-timeFull-timePart-time or Full-time, as needed

How many hours per week do you want to work?*

Hours you are routinely available to work?*

Any hours I am neededSpecific hours - please provide details

What rate of pay do you expect for this position?

Please let us know more about why you are interested in working at the Spay Neuter Veterinary Clinic.

Education:

Most Recent School Attended

Address

Degree or Grade level attainedGPA

Awards / Honors / Educational Accomplishments

Skills and Qualifications: (Licenses, skills, training, certifications)*

Current or Most Recent Employer:

Company Name:*

Date of Employment. From: Month / Year* To: Month / Year or Current*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone Number:*

Please enter a valid phone number.

Title:*

Duties performed:*

Reason you left / are leaving the position:*

Hourly rate of pay. Starting: $ / Hour* Ending: $ / Hour*

Previous Employer #1:

I have no further Employment Information to enter

Company Name:*

Date of Employment. From: Month / Year* To: Month / Year or Current*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone Number:*

Please enter a valid phone number.

Title:*

Duties performed:*

Reason you left / are leaving the position:*

Hourly rate of pay. Starting: $ / Hour* Ending: $ / Hour*

Previous Employer #2:

I have no further Employment Information to enter

Company Name:*

Date of Employment. From: Month / Year* To: Month / Year or Current*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone Number:*

Please enter a valid phone number.

Title:*

Duties performed:*

Reason you left the position:*

Hourly rate of pay. Starting: $ / Hour* Ending: $ / Hour*

Please describe any other relevant experience (volunteer, animal related hobbies, etc.):*

Please list your hobbies:*

Is there anything else you would like us to know when considering your application?*

References:

Please list at least two professional references

Reference #1 Name*

First NameLast Name

Reference #1 Professional Relationship to you*

Reference #1 Contact Number*

Please enter a valid phone number.

How long has reference #1 known you?*

Reference #2 Name*

First NameLast Name

Reference #2 Professional Relationship to you*

Reference #2 Contact Number*

Please enter a valid phone number.

How long has reference #2 known you?*

I wish to provide another reference

Reference #3 Name*

First NameLast Name

Reference #3 Professional Relationship to you*

Reference #3 Contact Number*

Please enter a valid phone number.

How long has reference #3 known you?*

If you have an electronic version of your resume, please attach it to this application

I understand that any verbal or written statement that is false, fraudulent, or misleading, that is contained in this application or attached materials, or made in the course of any related employment process, whether made by me or by others at my request, will result in rejection of my application.
I certify that to the best of my knowledge, all statements contained herein are true and complete.
I understand that if hired, I must prove that I am legally authorized to work in the United States.
I authorize the Spay Neuter Veterinary Clinic of the Sandhills, to check my employment references and verify education information provided on this employment application and as disclosed in the interview process.
I authorize Spay Neuter Veterinary Clinic of the Sandhills to run a criminal background check as a condition of employment.
I release SNVC and all providors of information from any liability as a result of furnishing and receiving any information related to the hiring process.

Application Signature

Application Submitted Date:

Date

Spay Neuter Veterinary Clinic of the Sandhills