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Customer Service Representative

Full Legal Name:*

Preferred Name:*

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone*

Email*

Birthday

Month

Day

Year

What position are you applying for at our hospital?*

Do you have experience at an animal hospital?

Availability*

Full Time (32-40 hours per week)

Part Time (Less than 32 hours per week)

What hourly pay rate do you expect?*

Why do you want to work at Slaton Animal Hospital?

What are your career goals in the next 5 years?

In the past three years, have you ever knowingly used any narcotics, amphetamines or barbiturates, other than those prescribed to you by a physician?

If the answer is yes, furnish details.

Do you use illegal drugs?

Yes

No

Would you agree to and pass periodic routine drug tests?

Do you smoke?

Yes

No

Have you ever been terminated from a job for stealing or other criminal activity?

Yes

No

Please list your pets and current veterinary clinic.

Reference #1 Name:*

Relationship:

Former employer

Current employer

Relative

Friend

How long have you known them?

Phone*

Reference #2 Name:*

Relationship:

Former employer

Current employer

Relative

Friend

How long have you known them?

Phone*

Reference #3 Name:*

Relationship:

Former employer

Current employer

Relative

Friend

How long have you known them?

Phone

Most Recent Employer:*

Start Date

End Date

If currently employed chose application date.

Reason for leaving:

Previous Employer #2:

Start Date

End Date

Reason for leaving:

Previous Employer #3:

Start Date

End Date

Reason for leaving:

Do you have reliable transportation to Slaton?

Anything else you would like us to know about you?

Submit Resume

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