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Fear Free
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Employment Form
East-West Animal Hospital Employment Application
Name
*
First
Last
Email
*
Phone Number
*
Position Desired
*
Employment Status Required
*
Full-time (33+ hours )
Part-time (<33 hours)
Employment Eligibility
Are you a citizen of the U.S.
*
Yes
No
Do you have legal right to work in the U.S.?
*
Yes
No
Not Applicable
Do you speak or read any languages fluently beside English? If so which?
*
Have you ever been convicted of a felony crime? If so, please explain
*
We are a Drug-Free Workplace. I understand that if I am considered a candidate I will be required to submit samples for drug testing prior to employment.
*
By checking this box I agree to the Drug-Free Workplace statement
Education
High School - Name of School - City/State - Degree/Major
*
Trade School - Name of School - City/State - Degree/Major
*
College - Name of School - City/State - Degree/Major
*
Employment History
Employment Dates - Employer's Name/Address - Position/Job - Reason for leaving - Wage/Salary
*
Employment Dates - Employer's Name/Address - Position/Job - Reason for leaving - Wage/Salary
Employment Dates - Employer's Name/Address - Position/Job - Reason for leaving - Wage/Salary
Is there any information relative to change in name, use of an assumed name, maiden name, or nickname necessary to check your work record or background information? Please provide
Do you authorize EWAH to contact your previous and present employer for reference prior to employment?
*
Yes
No
Is there anything else you would like us to know about you?
Applicant's Affidavit
I certify that the information contained on this application is correct to the best of my knowledge. I authorize investigation of all matters contained in this application and agree that any misleading or false statements would be cause for rejection of this application or would be sufficient cause for dismissal after employment begins. I understand that employment is contingent upon the receipt of negative drug screening results, background checks, and satisfactory work references by East-West Animal Hospital. I further understand that my continued employment will be based on satisfactory performance and satisfactory completion of the Benefits Waiting period of employment.
I hereby authorize my past and present employers to furnish East-West Animal Hospital with their records of my employment.
*
By checking this box I agree to the information in the Applicant's Affidavit
Type in name to certify affidavit statement
*
First
Last
Today's Date
*
Date Format: MM slash DD slash YYYY
Upload Resume/Cover letter
*
Drop files here or
Upload Photo of your pet
Drop files here or
Δ
Home
About
Fear Free
Our Veterinarians
Our Care Team
Careers At EWAH
Employment Form
Services
Acupunture & TCVM
Behavior Services
Dental Care
Laboratory & Diagnostics
Microchipping
Personalized Vaccine Care
Stance Analysis
Summus Laser Therapy
Surgery Services
Ultrasound, Echo & Endoscopy
Wellness & Prevention Plans
Client & Patient Center
Client Center
Annual Client Form & Hospital Policies
Procedure Anesthesia & Medical Authorization Release
Pet & Pet Parent Social Media Agreement
Payment Options
Patient Center
Pet Information
Pre-Visit Questionnaire
Behavior Questionnaires
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
Pet Food Recalls
Product Recalls
Pet Insurance
News
East-West Blog
Promotions
Contact
Online Store
facebook
instagram