Animal Medical Center

101 Progress Road
Gloversville, NY 12078

(518)883-6365

www.fultoncountyvet.com

*Name
*Date
*Address
*Phone #
*Full Time or Part Time
*How many hours per week are you able to work?
Are there any times of the day/evening your not able to work Monday-Sunday?
Education: High School
Year Graduated?
College?
Year Graduated from College?
Special Qualifications and Skills

Work History
Employer
Dates of Employment
Contact Person
Reason For Leaving
Employer
Dates of Employment
Contact Person
Reason For Leaving
Employer
Dates of Employment
Contact Person
Reason For Leaving

References
Name/Relationship/Phone #
Name/Relationship/Phone #
Name/Relationship/Phone #
Have you ever been discharged from an employer? If yes, Explain
What wage and benefits do you expect after 1 year?
Would you be available to come to work during an emergency?
Do you have your own car?
Have you ever worked for a veterinarian before?
Would you have a difficult time lifiting a 35lb dog off the ground to a cage that is 4ft off the ground?
Why do you think you should be selected for the next available position?

Please make sure that all questions are answered to be considered.
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