Packerland Veterinary Center Packerland Veterinary Center Packerland Veterinary Center

JOB APPLICATION

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

This application must be filled out COMPLETELY in order to be considered for hire.

Applicant Information
Other Personal Information
* If you are under 18, and it is required, can you furnish a work permit?
N/A Yes No
* Have you ever been employed here before?
Yes No
* Are you legally eligible for employment in this country?
Yes No
* Type of employment desired:
Full-Time Part-Time Temporary Seasonal Educational Co-Op
If driving may be required in position for which you are applying
 
Answering "yes" to the following questions does not consitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

* Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
Yes No
Employment History
Starting with your most recent employeer, provide the following information.
* Compensation Starting
Hourly Salary
* Compensation Final
Hourly Salary
* May we contact for reference?
Yes No Later
Compensation Starting
Hourly Salary
Compensation Final
Hourly Salary
May we contact for reference?
Yes No Later
Compensation Starting
Hourly Salary
Compensation Final
Hourly Salary
May we contact for reference?
Yes No Later
Skills and qualifications
Summarize any special training skills, licenses and/or certificates that may assist you in performing the position for which you are applying
Computer Skills (Include software titles and years of experience)
Educational Background
Starting with your most recent school attended, provide the following information
References
List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corportations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully disccriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclussion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitue an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied oral or written agreement contraty to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.



I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
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