Employment Application
Your Contact Information
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
City *
Your answer
State *
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Zip *
Your answer
Please list a telephone number that we can contact you with. *
Your answer
Please list an email address that we can contact you with. *
Your answer
Position(s) You Are Applying For:
Employment Desired: *
Required
Position(s) You Would Like to be Considered For: *
Required
Please describe any experience or training that relates to the position that you are applying for:
Your answer
How Did Your Hear About This Position(s): *
About You:
For reference and background purposes, have you ever been known by any other name? *
If you answered "Yes" above, please provide those alternatives names below.
Your answer
Are you under the age of 18? *
If Yes, can you provide required proof of your eligibility to work?
Have you ever been employed with us before? *
If you answered "Yes" above, please give dates and position(s) held:
Your answer
Do you have any relatives currently employed with Cascade Hospital for Animals? *
If you answered "Yes" above, please indicate who:
Your answer
Within the past five years, have you been convicted of a felony, or within the past two years, of any Misdemeanor or are you presently formally charged with committing a criminal offense? *
(Do not include any traffic violations, juvenile offenses or military convictions, except by court-martial)
If you answered "Yes" above, please furnish details of conviction, offense, location, date and sentence:
Your answer
Within the past three years, have you ever knowingly used any narcotics, amphetamines or barbiturates, other than those prescribed to you by a physician? *
If you answered "Yes" above, please furnish details:
Your answer
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