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APPLICATION FOR EMPLOYMENT

Please answer questions 1-16

2. For what position are you applying? (Select ones that apply)
3. Please list your academic, vocational, professional education/schools you have attended.
7. Have you ever been convicted of any crimes?
9. This job requires that you stoop, bend, lift and carry (receptionist up to 35 lbs., technicians and kennel workers up to 75 lbs. of weight). Are you capable of performing tasks that require this?
10. This job requires exposure to emergency medical situations such as severe illnesses and injury of animals. Does the sight of animal blood, vomit, feces, urine or of animals in pain prevent you from being able to do the job for which you are applying?
11. This job may require the restraint of animals for the protection of owners, yourself and/or employees. Are you capable of safely restraining or assisting in restraining animals (required of technicians and kennel workers) and/or of working in an environment in which animals are restrained.
12. This job requires the use of computers for data entry and retrieval. Can you perform basic computer tasks?
13. This job may require working on Saturdays, Sundays, and/or holidays. Can you work on these days?
14. This job requires that you are able to get to and from work on your own. Can you do this?
Preferred employment
Willing to work – Part-time
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