Thank you for your interest in the position at . To apply for the position, please provide the following information below.

Due to the nature of our business we do not hire Smokers.

* All fields are required

First Name:
Middle Name:
Last Name:
Have you had any legal convictions or been on probation? No Yes
Who is your current veterinarian? (enter 'none' if you don't have one):
How many years have you lived in this area?
How many years experience do you have working in a pet hospital ?
How many jobs (of any type) have you had in the last five years?
Please enter the following four fields (Employer Name, Years Worked, Contact Name & Contact Phone) for each job you've had in the last five years, beginning with your current, or most recent, job followed by the job prior to that, etc.
Employer Name Years
Contact Name Contact Phone
If you have no experience, are you willing to start at $8.50/hr? (choose N/A if you do have experience) No Yes N/A
If no for $8.50/hr, how much per hour are you willing to begin at?
Are you a client at any of Dr. Adkins' clinics? No Yes
Do you speak Spanish fluently? No Yes
Do you have expierience with Avimark? No Yes
Do you have internet access at home? No Yes
Do you have your own transportation? No Yes
Do you live within 5 miles of the pet hospital? No Yes
Are you willing to work on Saturdays? No Yes
Are you willing to take unannounced drug tests? No Yes
Have you have ever been disciplined for violating company policies about the use of alcohol or tobacco products? No Yes
Do you have references available? No Yes
Please enter the names of any books that have been influential in your life:
Book 1:
Book 2:
Book 3:
Please tell us a little more about yourself. For example:
  • Why are you interested in working in a pet hospital
  • What have you liked at the pet hospitals where you've worked
  • Etc.
  • (5,000 character limit)