Employment Application in Southaven, MS | Precious Paws Animal Clinic

Date

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Work Phone

Email

Applying For:

Full Time
Part Time
Full Time Temp
Part Time Temp
Flexible Hours/On Call
Weekends

Position Wanted

Animal Care
Clerical
Management
Vet Tech/Assistant

Education Background

High School

Graduated

Yes
No
GED

College

Graduated

Yes
No
Attending

Qualifications/Skills

Typing WPM

Shorthand WPM

Other

Work History (Begin with most recent)

Employer

Begin Date - End Date

Address

Phone Number

Duties

Salary

Reason For Leaving

Hours Per Week

Supervisor’s Name and Title

Employer

Begin Date - End Date

Address

Phone Number

Duties

Salary

Reason For Leaving

Hours Per Week

Supervisor’s Name and Title

Employer

Begin Date - End Date

Address

Phone Number

Duties

Salary

Reason For Leaving

Hours Per Week

Supervisor’s Name and Title

References

Full Name	Home/Business Address	Phone	Occupation

List any pets you have

Why would you like to work with a veterinarian?

Do you have any allergies to animal hair/dander, chemicals, etc.?

Do you have any problems lifting a 35 pound dog?

Do you smoke?

Have you ever been discharged by an employer? If so, what were the circumstances?

Why did you leave your previous job or why are you considering leaving your current position?

Do you possess any special skills, abilities, or personal qualities that we should be aware of in relation to the position you are applying? Explain:

Why should you be selected for this job?

What salary do you expect?

What salary and benefits do you expect after one year of employment?

What days and times are you available to work?

Are you available to work weekends?

Are you available to work holidays?

When are you available to start working?

Is it okay to check references and/or prior work history?

List any animal history you might have:

Signature of Applicant

Date

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