Application for Employment
Hidden Valley Animal Hospital
Personal Information
First Name
Last Name
Address
City
State
Postal Code
Primary Phone
Secondary Phone:
Email Address
Position Applying For:
Receptionist
Pet Health
Animal Technician
Veterinarian
Animal Care Specialist
Groomer
Are you legally authorized to work in the United States?
Yes
No
Would you accept to submit to a drug screen and/or a background check?
YES
NO
Have you ever been convicted of a felony?
Yes
No
If yes, please explain.
Availability
Preferred Hours:
Part time
Full time
Either
Date able to start:
Preferred Salary:
Days Available
Any Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Employment History
Employer
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Starting Wage:
Ending Wage:
Position
Supervisor/Manager
Reason for leaving
Employer
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Starting Wage:
Ending Wage:
Position
Supervisor/Manager:
Reason for leaving:
References
Name
Title
Phone
Email Address
Name
Title
Phone
Email Address
Education
Name of Grammar School:
Graduation Year:
GPA:
Name of High School:
Graduation Year:
GPA:
Name of College:
Graduation Year:
GPA:
Trade/Business School:
Graduation Year:
GPA:
Additional Information
Subjects of special study or experience in the field which you are applying.
What are your long-term goals in life?
Please tell us about yourself, your experience, interests, personality, goals, etc. We would like to get to know you better. Include anything you feel is important.
Please submit a copy of your resume.
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