Redmond Veterinary Clinic
Providing Uncompromised Care for those Providing Unconditional Love
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Redmond Veterinary Clinic Employment Application

Please fill this form out as complete as possible.  
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APPLICANT INFORMATION
First Name:Last Name:
Mailing Address:
City:State:
Zip Code:
Home Phone:Email:
Date Available:Social Security:
Desired Wage: 
Position/s Applying For:
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever been convicted of a felony?
If yes, explain:
EDUCATION
High School:
Address:
From:To:
Did you graduate?
Degree:
College:
Address:
From:To:
Did you graduate?
Degree:
Other:
Address:
From:To:
Did you graduate?
Degree:
REFERENCES
 
Please list three professional references.
Full Name:Relationship:
Company:Phone:
Address:
Full Name:Relationship:
Company:Phone:
Address:
Full Name:Relationship:
Company:Phone:
Address:
PREVIOUS EMPLOYMENT
Company:Supervisor:
Address:
Phone:Job Title:
Starting Salary:Ending Salary:
Responsibilities:
From:To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Company:Supervisor:
Address:
Phone:Job Title:
Starting Salary:Ending Salary:
Responsibilities:
From:To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Company:Supervisor:
Address:
Phone:Job Title:
Starting Salary:Ending Salary:
Responsibilities:
From:To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
 

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
By submitting this online application, I consent to allow Redmond Veterinary Clinic to contact the references listed.

 
 

Redmond Veterinary Clinic 1785 N. Hwy 97 Redmond, OR 97756 (541) 548-1048 Fax (541)548-2323 e-mail us | site map | Employees Only Content Management System provided by
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