Looking for a career in Veterinary Medicine?

Join our veterinary team at Decatur Veterinary Clinic. We are always accepting applications for Veterinarian, Veterinary Technicians, Kennel Technicians, and CSR.

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Ready to start your veterinary career?

Our policy is to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to thoroughly answer all the questions on this application. You may attach a résumé, but all questions must be answered.

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Position applying for *

Employer *

PERSONAL DATA

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

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Home Telephone Number *

Business Telephone Number

Cellular Telephone Number

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Date you can start work *

Salary Desired *

Do you have a High School Diploma or GED? *

POSITION INFORMATION

Check all that you are willing to work

Are you authorized to work in the U.S. on an unrestricted basis? *

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) *

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job? *

Can you perform these essential functions of the job with or without reasonable accommodation? *

QUALIFICATIONS

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

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School Name *

Degree *

Address / City / State *

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School Name

Degree

Address / City / State

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Other

Degree

Address / City / State

SPECIAL SKILLS

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc. *

REFERENCES

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

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Name *

Address/ City/ State *

Phone *

Relationship *

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Name

Address/ City/ State

Phone

Relationship

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Name

Address/ City/ State

Phone

Relationship

WORK HISTORY

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

Job Title #1

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Start Date (mo/day/yr) *

End Date (mo/day/yr) *

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Company Name *

Supervisor’s Name *

Phone Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Duties

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Reason for Leaving *

Starting Salary *

Ending Salary *

May we contact your present employer? *

Add second job information? *

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Multiple Choice *

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

Multiple Choice *

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

Applicant Signature *

Clear Signature

Date *

Looking for a career in Veterinary Medicine?

Ready to start your veterinary career?

PERSONAL DATA

POSITION INFORMATION

QUALIFICATIONS

SPECIAL SKILLS

REFERENCES

WORK HISTORY

Job Title #1

Job Title #2

Job Title #3

Job Title #4

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