Clone of New Job Application

Position Applying For *

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Phone Number *

Area Code Phone Number

Do you have professional experience working with animals? *

Yes No

Due to the nature of the veterinary field, especially exposure to controlled prescription drugs, we require a background check and/or drug screening for all new applicants. The following information will be used for employment purposes as part of the pre-screening background check.

Social Security Number

Birthdate *

Month Day Year

Are you a Veteran of the United States military? *

Yes No

Company Name

Job Title

Supervisor Name

Phone Number

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

From

Month Day Year

To

Month Day Year

Responsibilities

Reason for leaving

Next Previous Employer

Company Name

Job Title

Supervisor Name

Phone Number

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

From

Month Day Year

To

Month Day Year

Responsibilities

Reason for leaving

Next Previous Employer

Company Name

Job Title

Supervisor Name

Phone Number

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

From

Month Day Year

To

Month Day Year

Responsibilities

Reason for leaving

High School

High School Name *

Did you graduate? *

Yes No GED

College

College Name

Degree

Status

Graduated Currently attending No longer attending

Graduation Date *

Are you a Registered Veterinary Technician with the State of Ohio and the Ohio Veterinary Medical Licensing Board (OVMLB)? *

Yes No

What is your RVT license number? *

What is your RVT license expiration date? *

Month Day Year

Have you taken the Veterinary Technician National Exam (VTNE)? *

Yes No

Have you scheduled your VTNE? *

Yes No

When are you scheduled to take the VTNE?

Month Day Year

1. Full Name *

First Name Last Name

1. Company *

1. Phone Number *

Area Code Phone Number

2. Full Name *

First Name Last Name

2. Company *

2. Phone Number *

Area Code Phone Number

3. Full Name *

First Name Last Name

3. Company *

3. Phone Number *

Area Code Phone Number

Why are you the best applicant for this position? *

Do you have a resume you would like to attach? (It is highly recommended.) *

Yes No

Attach resume *

How did you hear about this career opportunity?

Facebook Ohio Means Jobs Monster Our Website Other

Other *

By sumbitting this application you agree to the following statement:

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I hereby authorize any of the persons or organizations listed in my application to give all information concerning my previous employment, education, or any other information that might have, personal or otherwise, with regard to any of the subjects covered by this application, and release all such parties from all liability that may result from furnishing such information to you. I authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time,at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

If you are unable to submit this application via the internet:

Fill out the application above. Click "Print Form."

Mail this application and your resume (if applicable) to

Animal Care Clinic

ATTN: Anthony

1246 Western Avenue

Chillicothe, OH 45601

No calls please.

Previous Employment

Education

References

Personal Statement/Acknowledgment