Animal Care Attendant

IMPORTANT NOTE: We are an Equal Opportunity Employer. All potential employees are evaluated without regard to race, color, religion, gender, national origin, age, marital or veteran status, the presence of a non-job related handicap or any other legally protected status.

First Name

Last Name

Address

Phone Number (numeric only)

Alternate Number (numeric only)

Email

On what date would you be available for work?

Desired Wage/Salary ($, numeric only)

Position Sought

Rate of pay expected ($_________ per hour)

Applying for:
Select Full-time Part-time

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Evenings

Weekdays

Do you have your own transportation? Select Yes No

Do you enjoy working with animals? Select Yes No

Do you have pets of your own? Select Yes No

Select all that you’ve had experience in:
Filing, Multi-phones, Typing, Clerk/Register Work, Veterinary Hospital Work

If your application is considered favorably, on what date will you be available to start?

What are some of your hobbies?

Why do you want to work here?

List other information pertinent to the employment you are seeking:

Name

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Please provide your educational background:

School Name, Graduated, Years Attended (From - to), Degree Received, Major

Select Yes No

(Most recent first)

Employer 1

Employer

Job Title

Dates Employed

Prior Position Held within Company (if any)

Employer Address

Past Employer Phone Number (numeric only)

Duties Performed

Name of Supervisor

Supervisor's Job Title

Specific skills acquired

Reason for Leaving

Employer 2

Employer

Job Title

Dates Employed

Prior Position Held within Company (if any)

Employer Address

Past Employer Phone Number (numeric only)

Duties Performed

Name of Supervisor

Supervisor's Job Title

Specific skills acquired

Reason for Leaving

Employer 3

Employer

Job Title

Dates Employed

Prior Position Held within Company (if any)

Employer Address

Past Employer Phone Number (numeric only)

Duties Performed

Name of Supervisor

Supervisor's Job Title

Specific skills acquired

Reason for Leaving

List any other employer you have worked with, prior to any of the jobs mentioned above:

Job Title, Employer’s Name, Supervisor’s Name, Date Started, Date Ended