Job Application
Warren Animal Hospital
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Email *
Date
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Name
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Address
City
State
Zip
Phone #
What is the best time to phone?
Have long have you lived at this address?
Previous Address
Position Sought
Salary Requested
Hours Available
Can you work weekends?
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Clerical/telephone experience
Previous work experience
I am 21 years of age or older
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If not, list your age
Are you a student?
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Are you willing to hold animals, assist in surgery, clean premises, etc.?
How much can you safely lift?
Date of last Tetanus shot
MM
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DD
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Can you handle an emergency in a calm and rational manner?
Highest level of education completed?
Last school attended?
Work References
Include company name, contact person, position and day time phone number:
1. Work Reference
2.  Work Reference
3.  Work Reference
Personal References
1. Personal Reference
2. Personal Reference
3. Personal Reference
How well do you relate with people?
Do others see you as being friendly, concerned, helpful, etc.? 
Are you more task or people oriented?
What is your motive for obtaining a job here?
How long do you anticipate being employed here?
How well do you follow instructions?
What degree of supervision do you think you require when you have learned the job skills ?
Are you able to report to work on time without unexcused absences?
Do you have your own transportation?
Are you trustworthy? Can you be trusted to correctly handle financial transactions and be responsible for the cash drawer?
Are you motivated sufficiently to learn proper vaccination and health care recommendations and discuss them with clients?
Why should we hire you?
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