Work With HCAL - Hill Country Animal League

PERSONAL INFORMATION

Name *

First

Last

Email *

Phone Number *

Address *

Address Line 1

City

State

Zip Code

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Yes
No

Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.

Are you 18 years of age or older?

Yes
No

If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by state or federal law.

EMPLOYMENT DESIRED

Full Time or Part Time?

Full Time
Part Time

Position Desired:

Wage/Salary Desired:

Date You Can Begin:

Total hours per week you are available to work:

Do you have any special requests or needs for a work schedule?

Availability From:

Tu

W

Th

F

Sa

Su

To:

Tu (copy)

W

Th

F

Sa

Su

EDUCATION

Name of high school attended:

City/State:

Graduate?
GED?

Name of college or technical school:

City/State:

college?

Graduate?
Degree?

Are you presently enrolled in school?

Yes
No

If yes, give name & address of school and expected degree date:

List any job-related skills or accomplishments, including military service:

EMPLOYMENT HISTORY

List names of employers with present or last employer listed first.

May we contact current employers before you are offered a position?

Yes
No

Employer 1

Name of Employer:

Supervisor Name:

Phone:

Address

Address Line 1

City

State

Zip Code

Job Title:

Duties:

Reason For Leaving:

Dates of Employment From:

To:

Hourly Pay/Salary

Employer 2

Name of Employer:

Supervisor Name:

Phone:

Address

Address Line 1

City

State

Zip Code

Job Title:

Duties:

Reason For Leaving:

Dates of Employment From:

To:

Hourly Pay/Salary

REFERENCES

Provide Two References Who Are Not Former Employers Who We May Contact

1: Name/Occupation

Phone Number

How do you know them and for how long?

2: Name/Occupation (copy)

Phone Number

How do you know them and for how long?

CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I have read, understand, and agree to the above statements.

Signature

Clear Signature

Date

Work with Us!

Current Openings

Senior Veterinary Technician

Employment Application

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

EMPLOYMENT HISTORY

Employer 1

Employer 2

REFERENCES

CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM

Interested in all the ways to get involved?

Quick Links

Animal Clinic

Thrift Store

Careers

Work with Us!

Current Openings

Senior Veterinary Technician

Employment Application

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

EMPLOYMENT HISTORY

Employer 1

Employer 2

REFERENCES

CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM

Interested in all the ways to get involved?