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DoveLewis is an equal opportunity employer and does not discriminate against otherwise
qualified applicants on the basis of race, color, creed, religion, ancestry, age,
sex, marital status, national origin, disability, or veteran status.
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Personal Information |
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First Name: |
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Last Name: |
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Middle Name: |
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Street Address: |
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City: |
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State: |
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Country: |
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Zip code: |
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Phone: |
Ext:
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Email: |
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Position Sought: |
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Date Available: |
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Attach Your Resume: |
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Are you available to work:
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Salary Desired: |
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Are you over 18 years old? |
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Are you legally eligible for employment in the United States? |
(If offered employment, you will be required to provide documentation
to verify eligibility.) |
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Have you ever worked for this company before? |
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If yes, give dates and job title: |
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Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment
within the last seven years? |
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If yes, what was it and what was the reason for the charge? |
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(A conviction will not necessarily automatically disqualify you
for employment. Rather, such factors as age and date of conviction, seriousness
and nature of the crime, and rehabilitation will be considered.)
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How did you hear about us? |
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Education
Please provide details of your educational background, including names & locations
of schools, course of study, years completed, and diploma or degree achieved:
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Emergency Hospital Experience
If you do not have direct experience working in an emergency veterinary hospital,
please provide a brief summary of how your prior work experience has prepared you
to work in an emergency room environment and how you have learned to cope with stressful
situations
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Have you completed any special courses, seminars and/or training that would enable
you to perform the position for which you are applying?
If yes, please describe:
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Are you presently employed? |
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If yes, may we contact your current employer? |
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If presently employed, why are you considering leaving? |
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Please provide details of your previous employment, including date(s) of employment,
name & address of employer, salary upon leaving, position worked, and reason
for leaving:
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References
Please list up to three (3) professional references, including name, phone number,
company name, relationship to you (i.e. supervisor, co-worker etc.) and years acquainted.
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AUTHORIZATION
I certify that the facts contained in this application (and accompanying resume,
if any) are true and complete to the best of my knowledge. I understand that any
false statement, omission, or misrepresentation on this application is sufficient
cause for refusal to hire, or dismissal if I have been employed, no matter when
discovered by the Company.
I understand that any employment is conditioned on a background check and drug test.
I authorize the Company to thoroughly investigate all statements contained in my
application or resume, and I authorize my former employers and references to disclose
information regarding my former employment, character and general reputation to
the Company, without giving me prior notice of such disclosure. In addition, I release
the Company, any former employers and all references above from any and all claims,
demands or liabilities arising out of or related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed
during any interview, is intended to create an employment contract. I further understand
and agree that if I am hired, my employment will be "at will" and without fixed
term, and may be terminated at any time, with or without cause and without prior
notice, at the option of either myself or the Company. No promises regarding employment
have been made to me, and I understand that no such promise or guarantee is binding
upon the Company unless made in writing.
If offered employment I agree to submit to a drug test before starting work. If
employed, I also agree to submit to a drug test at any time deemed appropriate by
the Company and as permitted by law. I understand that my employment or continued
employment, to the extent permitted by law, is contingent upon satisfactory drug
test, and if I am hired a condition of my employment will be that I abide by the
Company's Drug and Alcohol Policy.
I understand that filling out this form does not indicate there is a position open
and does not obligate the Company to hire. If hired, I agree to abide by all Company
work rules, policies and procedures. The Company retains the right to revise its
policies or procedures, in whole or in part, an any time.
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