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APPLICATION FOR EMPLOYMENT

Please answer all questions. Resumes are not a substitute for a completed application.

TO APPLICANT: We appreciate your interest in Etowah Veterinary Hospital, Inc. and assure you that we are interested in your qualifications. A clear and full understanding of your background and work history will aid us in placing you in a position that best meets your qualifications and any openings that we may have at this time.

*THIS EMPLOYER PARTICIPATES IN E-VERIFY*

Applications will be considered without discrimination because of race, color, sex, religion, national origin, marital status, disability, or veteran’s status. E.V.H., Inc. also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities act (ADA) and applicable state and local laws.

Name
Present Address
Are you legally eligible for employment in the United States?
Are you 18 years of age or older?
Is there anything that would prevent you from performing in a reasonable and safe manner the activities involved in the position for which you have applied?
Have you ever been convicted of a crime other than a traffic offence, had adjudication of a crime withheld, pled nolo contendere, or are currently being charged for a crime not yet adjudicated?
If a license is requires for the position for which you are applying (drivers or other), please list the following:

LIST BELOW ALL PRESENT AND PAST EMPLOYMENT BEGINNING WITH THE MOST RECENT

Supervisor’s Name
Supervisor’s Name
Supervisor’s Name

PLEASE ANSWER THE FOLLOWING QUESTIONS: (BE AS SPECIFIC AS POSSIBLE)

I certify that all the information on this application, my resume, or any supporting document is correct, and I understand that any misrepresentation or omission of any information will result in disqualification from consideration for employment or, if employed, my termination.


I understand that this application is not a contract, offer or promise of employment. If hired, I will be able to resign at any time for any reason. Likewise, the company can terminate my employment at any time for any reason, with or without cause. I further understand that any offer of employment or any terms of employment must be in writing.


I authorize the company or its agents to investigate all statements contained in this application and/or resume. I further understand that a credit and background check may be made including, but not limited to consumer credit history, criminal history, driving record, employment, military, education and general public records which will provide information concerning my character, general reputation and mode of living. I hereby authorize my former employers, educational instructions or individuals named to furnish all information pertaining to my work or educational record. I release my former employers, educational institutions, supervisors, workers, and references from all liability on account of furnishing information to this company or its agents.


Should I wish to obtain a copy of these reports if made, it will be provided upon written request. I hereby release from liability the employer and its representatives for seeking such information and all persons, corporations or organizations for furnishing such information.


I understand that, as a condition of employment I may be required to sign a non-compete agreement and or a conflict of interest statement. I understand that the employer may now have, or may establish, a drug-free workplace or a post-accident drug testing program. If it has one now and I am offered a conditional offer of employment I agree to work under the conditions requiring a drug free workplace. I also understand that all employees of the location may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If detected, the offer of employment will be withdrawn. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo random fitness for duty, return to work and reasonable suspicion alcohol and drug testing. Refusal to take such tests when asked may result in termination.


I understand this company hires only U.S. citizens or individuals who are legally eligible to work in the United States of America. This application is current for sixty (60) days. At the conclusion of this time, if you have not heard from the employer and still wish to be considered for employment it will be necessary for you to complete a new application.

Applicant Signature
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