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You may be scheduled from 7:30 am - 8 pm. List any hours you can't work:*Desired Pay Range*Full/Part time*Are you currently employed?* Yes No EducationHigh SchoolName and LocationDates AttendedDid you graduate?MajorCollege/UniversityName and LocationDates AttendedDid you graduate?MajorGraduate/Vet SchoolName and LocationDates AttendedDid you graduate?MajorTraining, Trade School, etcName and LocationDates AttendedDid you graduate?MajorOther EducationName and LocationDates AttendedDid you graduate?MajorPlease list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position.Please list clubs, associations and unions of which you are a member or volunteerPlease list the number and type of pets you have at homeDo you agree to comply with a zero tolerance illegal drug and alcohol policy? Yes No Have you ever been convicted of a felony? Yes No Are you able to work legally in the United States? Yes No List any small animals you are scared of or nervous around.Do you understand that this job will require lifting at least 50 pounds repeatedly? Yes No Do you acknowledge this job requires standing on concrete floors for long periods of time? Yes No Employment HistoryPlease list beginning from most recent Dates Employed MM slash DD slash YYYY Company NameLocationTitle/RoleStarting PayEnding PayTasks PerformedSupervisorReason for leaving this jobMay we contact this employer? Yes No Phone NumberDates Employed MM slash DD slash YYYY Company NameLocationTitle/RoleStarting PayEnding PayTasks PerformedSupervisorReason for leaving this jobMay we contact this employer? Yes No Phone NumberProfessional LicensesTypeStateDate ReceivedExpiration DateLicense Number By signing this application below I agree that the information contained in this application is true to the best of my knowledge; I filled out this application myself; and if I am hired at Coastal Animal Medical Center and any of this information is found to be false, management has the right to terminate my employment immediately.Your Name's Initials*Date* MM slash DD slash YYYY
