Employment Application

This veterinary hospital is an equal opportunity employer and will not discriminate, or tolerate discrimination, against any employee or applicant in any manner prohibited by law.

Any applicant who provides information not requested will be automatically rejected. Questions regarding this application should be directed to the employment interviewer. The application and submitted resume will be given every consideration, but its receipt does not imply that the applicant will be employed.

Conditions of employment are stated at the end of this form. Please read carefully before you sign this application.

Application and resume are a requirement for consideration. You can send your resume to marketing@riverstonevetgroup.com.

Applicant Information

First Name

Last Name

Street Address (include Apartment/Unit #)

City

State/Province

ZIP/Postal Code

Phone Number

Email Address

Date Available to Begin Work

Are you legally eligible to be employed in the US? Proof of eligibility and identity will be required upon employment offer.

Have you ever been convicted of a criminal offense? A conviction will not necessarily result in denial of employment.

If yes, explain (Put N/A if you have not)

Years of Experience

HAVE YOU EVER BEEN DISCHARGED FROM ANY EMPLOYMENT OR ASKED TO RESIGN?

If yes, explain (Put N/A if you have not)

Attendance and Punctuality Information

Consistent attendance and punctuality are essential requirements of every position in this company. Is there anything that would interfere with your regular attendance and punctuality if you are offered a job with the company?

If yes, explain (Put N/A if you have not) *

Can you perform the essential functions of the position, either with or without reasonable accommodation? (If you have any questions as to the essential functions of the position, please ask the interviewer before answering.)

Additional Experience or Qualifications

Have you completed any special courses, seminars or training that would enable you to perform the position for which you are applying?

Please list any professional license or certification you believe should be considered relevant to the position applied for on this application.

Please list any professional, trade, business or civic organizations that pertain to the position for which you are applying, and explain any offices held. (Omit any organization that reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities)

List any other experience, skills, or other qualifications including hobbies which you believe should be considered in evaluating your qualifications for employment. (Omit any that reflect your race, color, religion, age, sex, sexual orientation, marital status, or disabilities)

Please indicate any prior experience in the Armed Forces of the United States or state militia, including dates of service and relevant training/experience received during military duty.

Signature Required: (for the following disclaimers)

By signing the application, I declare that the information provided by me is complete, accurate, and true to the best of my knowledge. I understand that any falsification, misrepresentation, or omission on this application (or any other accompanying or required documents) may preclude an offer of employment, or may result in a withdrawal of an employment offer, or may result in discharge of my employment if I am already employed at the time of falsification, misrepresentation or omission is discovered.

Agree

I authorize the investigation of all statements and information contained in this application and resume. I release from all liability anyone supplying such information, and I also release the employer from all liability that might result from making an investigation.

Agree

I understand that this application will remain on file for no longer than 6 months. Consideration for new employment after 180 days requires a new application.

Agree

If hired, I agree to abide by all of the company rules and regulations. I agree that, just as I have, if hired, the right to terminate my employment at any time, with or without cause and with our without notice, the company may terminate my employment at any time, with our without cause or notice. I understand that no manager or representative of the company, other than its owner or his/her designee, has any authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to the foregoing either now, in the past, or in the future. I further understand that such agreement must be in writing, and signed by the owner or his/her designee for it to be binding on either myself, or the company. I further understand that this statement supersedes and prior oral or written understanding, and bars any future oral understanding to the contrary.

Agree

I acknowledge that I have read and understand the above statements, and herby grant permission to confirm the information supplied on the application by me.

Agree

Employment Application

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