Employment Application
Please fill out the form below. Your resume or CV upload will be requested at the end.
Name:
*
First Name
Last Name
What is your date of birth?
*
mm/dd/yyyy
Phone Number:
*
E-mail Address:
example@example.com
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What school do you attend?
*
Western Veterinary College
Veterinary Technician Program (please specify to the right)
Community College (please specify below)
Other (please specify below)
Name of Veterinary Technician Program? What year are you in?:
What Community College do you attend? What year are you in?:
Other:
Please specify, here, the name and type of the school you attend (if not listed above), or that you are recently graduated (and from which school), or that you are not in school.
Job Skills & Training
How many years of experience do you have in the animal health field?:
*
Experience and reported skill level will be verified at a working interview. At the working interview, you will be required to furnish your own scrubs.
Describe your skill level and the tasks you are capable of performing:
*
Training or Certifications (Please list the Certification(s) achieved as well as the date(s) accomplished):
References
Please list two (2) references that are familiar with your work life.
Reference 1
Name:
*
First Name
Last Name
Phone Number
*
Years Known:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 2
Name:
*
First Name
Last Name
Phone Number
*
Years Known:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Note: All Applicants considered for hire must submit to both a background check and potential random illegal drug screening (definition of illegal drug is based on the laws of the state of California). This is required by the DEA and State Regulatory agencies for all health care professionals.
Yes, I am willing to authorize both a background check and drug screening.
No, I am not willing to authorize either a background check or drug screening (If you choose to decline the verification process, we thank you for your time.).
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*
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