R Veterinary Application for Employment-R Veterinary

Todays Date

First Name

Last Name

Phone Number

Application Location (select all that apply):

R Veterinary at The Lake (Linn Creek)

R Veterinary at Cross Creek (Waynesville)

R Veterinary at Columbia

R Veterinary at Ashland

R Veterinary at Romaine Creek (Fenton)

R Veterinary at Kirbyville

Previous or Maiden Names

Current Mailing Address

Have you ever been employed with R Veterinary?

Yes

If you are a previous R Veterinary Employee, What was your job title and description?

Are you willing to submit a Background Check?

Yes

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

Yes

Would you agree to and pass periodic routine drug tests?

Yes

What Position are you applying for (select all that apply):

Desired start date:

Desired hourly pay rate:

Desired hours you are looking for:

Part time only

Full time only

List below, the shift availability you are looking for: (Ex. Monday 8AM to 5PM)

List below, your highest education level, location of school, years attended, degree/diploma received, and major:

What are some skills you think could be important to the position you are applying for?

List below your current or most recent employers contact information: (Ex. business name, employers name, address, and phone number)

May we contact your previous employer?

Yes

What were the start and end date of your most recent employment?

What was your most recent employment job title and description?

What was your start and end pay at your most recent employer

What was the reason you left your previous job?

List below your previous employment: (Ex. business name, employers name, address, and phone number)

May we contact your previous employer?

Yes

What was your job title and description at this employer?

What was your start and end pay at this employer?

List below your previous employment: (Ex. business name, employers name, address, and phone number)

May we contact your previous employer?

Yes

What was your job title and description at this employer?

What was your start and end pay at this employer?

References - 2 Professional and 1 Personal: (Ex. Name, relationship, and phone number)

Besides the fact that you enjoy working with animals, why do you want to work at R Veterinary?

What are your professional goals?

Tell us about your pets. (Names or nicknames, species, what they love, etc..)

Who is your current veterinarian?

Are all of your pets up to date with all their routine recommended veterinary care?

Yes

Do you have any certifications, degrees, awards or special skills we should know about?

Please list your hobbies:

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

Date

R Veterinary is an equal opportunity employer.

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, denial of employment, or dismissal from service if discovered after employment, and under some circumstances, may result in prosecution for a crime. I certify that 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.

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