Application for Employment Step 1 of 250%Name*Email* Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone / Cell Phone*Position applying for*How did you hear about this position?*Desired start date*Desired salary*Do you prefer Full-time or Part-time?* Full-time Part-timeAre you 18 years old or older?*YesNoDo you smoke or vape?*YesNoCan you lift 40 pounds unassisted?*YesNoDo you have animal handling experience away from home?*YesNoDid you graduate high school or have a GED?*YesNoEducation / Certifications / Licensure Related to this Position*Why do you want to work at Parkdale Animal Hospital?*By submitting this application I understand that if I am considered for this position/hired I will consent to:A criminal background check*(certain convictions will limit the positions we will be able to offer if you are hired)YesNoA pre-employment drug test*(failing a drug test will result in immediate termination)YesNoWork weekends, evening, late nights, holidays*YesNoBeing exposed to/cleaning up animal bodily fluids including but not limited to blood, urine, feces, vomit and pus; being exposed to/handling dead animals:*YesNoPlease provide your work/volunteer history:*(click plus sign to add another row)PlacePositionDutiesDatesSupervisorPhone #May we contact them? Yes or No Please provide three personal references (we reserve the right to contact these people):*(click plus sign to add another row)NameHow do you know this person?How long have you known them?Phone Number Parkdale Animal Hospital (PAH) is an equal opportunity employer. We reserve the right to withhold an offer of employment based on answers provided above or any information obtained in any pre-employment screening including but not limited to checking references/previous employers and social media. PAH hires in accordance with all state and federal laws. By signing below you agree to allow PAH consider you for employment, understand this is not an offer of employment, certify all the information I provided is accurate to the best of my ability and understand any falsified statements on this application is grounds for dismissal.Signature*Date* Date Format: MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
