If yes, please provide the other name(s) *
If yes, please explain when and, if employed, in what capacity *
Position Applying For *
Minimum Salary Desired *
Date Available for Work *
Telephone (Home)
Preferred work email *
If yes, are you available weekdays and/or weekends? *
If yes, state name(s) and where they are located. *
How did you learn about us? *
Company Name *
Address or Website *
Name, Title, and Phone Number of Supervisor *
Job Title, and Work Responsibilities *
Telephone *
Employed (Month and Year) From *
Employed (Month and Year) To *
Reason for Leaving: *
Company Name
Address or Website
Job Title, and Work Responsibilities
Telephone
Employed (Month and Year) From
Employed (Month and Year) To
Reason for Leaving:
Company Name
Address or Website
Job Title, and Work Responsibilities
Telephone
Employed (Month and Year) From
Employed (Month and Year) To
Reason for Leaving:
Company Name
Address or Website
Job Title, and Work Responsibilities
Telephone
Employed (Month and Year) From
Employed (Month and Year) To
Reason for Leaving:
School, Certificate, or Organization Name:
Date Started - Date Ended
Degree or Certificate Awarded
Summary of Job Related Skills, Qualifications related to the above time:
School, Certificate, or Organization Name:
Date Started - Date Ended
Degree or Certificate Awarded
Summary of Job Related Skills, Qualifications related to the above time:
School, Certificate, or Organization Name:
Date Started - Date Ended
Degree or Certificate Awarded
Summary of Job Related Skills, Qualifications related to the above time:
School, Certificate, or Organization Name:
Date Started - Date Ended
Degree or Certificate Awarded
Summary of Job Related Skills, Qualifications related to the above time:
Add Additional School/Certificate/Organization
Please summarize why you specifically think you will be a great member of Creekside Veterinary Hospital’s Dream Team. You can reference our website to learn a bit about us. *
I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for may result in refusal to hire or, if hired, may result in my dismissal at any time regardless of when the false answer or omissions are discovered. *
I recognize that this employment application is not an offer of employment. I agree that if I am hired by the Company, I will be an at-will employee, meaning that either the Company or I may end the employment relationship at any time with or without cause or notice. I understand that only authorized representatives with explicit authority to enter into agreements, and no manager, supervisor, or other non-authorized representative of the Company, has authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the at-will employment relationship, and with respect to any agreement entered into by the explicitly authorized representative, any such agreements must be in writing and signed by the explicitly authorized representative and by me or my authorized representative. You may contact human resources to inquire as to who the explicitly authorized representative is. *
I further understand and agree that, except for my at-will employment status, if hired, my wages, hours, working conditions, job assignment(s), and compensation rate(s) will be subject to change by the Company. *
I understand that if I am offered employment, I may be required to sign a non-solicitation and non-disclosure agreement, as a condition of the employment. *
I understand that the Company may share the information contained in this application with other Company employees for employment and administrative purposes and hereby consent to such transfer. *
I hereby authorize, to the extent allowed by applicable federal state and local laws, the Company to conduct its own investigation of my references, employment history and education and, further, authorize the references and prior employers I have listed to disclose to the Company information related to my employment history and qualifications for the position for which I am applying, without giving me prior notice of such disclosure. *
I understand and expressly agree that if employed by the Company, storage areas provided for me (locker, desk, etc.) are open to investigation by the Company without prior notice to me. *
I agree to undergo a pre-employment physical examination and/or drug screening consistent with federal and state law. *
I agree to submit to legally permissible drug testing upon an offer of employment from the Company and prior to starting work. I agree that any offer of employment is contingent upon my receiving a negative test result. *