APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
Name
Date
Current Address
City
State
Zip
Telephone Number
Cell
If under 18, please list age
Are you legally entitled to work in the US?
Question 1- Please explain why you would like to work at the Maria Stein Animal Clinic Inc.?
Position applying for
Emplyment Desired
Days available to work
When are you available to start?
How many hours can you work weekly?
Do you recognize that because animals must be taken care of 7 days a week, that working some Saturdays and Sundays, as well as Holidays, will be mandatory?
Do you have a valid Driver's License?
If no: What is your means of transportation to work?
Question 2- Why should the Maria Stein Animal Clinic Inc. hire you?
Education
Name of school
Location
Current Grade
Focus of Study
Please list ALL extra-curricular activities that you are involved in or plan to become involved in.
Activity
Coach/Advisor
Season
Days/week Involved
Previous Experience
Dates Employed
Company Name
Role/Title
Job notes, tasks performance and reason for leaving:
Refferences
Occupation
Years Acquainted
I attest that the information I have provided in this application is true to the best of my knowledge. Any misrepresentation or omission of the facts is cause for dismissal.
Date:
Signature:
8155 State Route 119 Maria Stein, OH 45860419-925-4212
1018 West Auglaize Street Wapakoneta, OH 45895419-738-7257
315 East Main Street Versailles, OH 45380937-526-5599
One fine body…
