Name* First Last Date of Birth*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Have you ever been convicted of a felony?* Yes No If yes, please explain.Home PhoneCell Phone*Best number to reach you* Cell Home Were you referred?* Yes No If so, by whom?Are you a college student?* Yes No If yes, college name:Year Freshman Sophomore Junior Senior Other Major field of studyAre you a pre-vet student? Yes No Do you have previous experience in the veterinary field?* Yes No If yes, explainHours you would be available*Do you desire part time or full time?* Full time Part time Desired salary range*Are you interested in administrative, kennel, or a technician position?* Administrative Kennel Technician ExperienceTell us about your work experience. List most recent position first.Previous EmployerDates of EmploymentReason for LeavingImmediate Supervisor First Last Phone NumberAdditional Previous EmployerDates of EmploymentReason for LeavingImmediate Supervisor First Last Phone NumberAdditional Previous EmployerPhone NumberDates of EmploymentReason for LeavingImmediate Supervisor First Last Drug-Free WorkplaceAny applicant receiving a job offer will be required to take and pass a pre-employment drug screen. In addition, random drug screens are required of all employees at this office. By submitting this online application, I hereby consent to submit to an urinalysis and or other tests as shall be determined by Taylor Crossing Animal Hospital in the selection process of applicants for employment for the purpose of determining substance abuse. Work EnvironmentI understand employment with this office requires handling dogs, cats, and other companion animals (excluding reptiles). I also understand this job requires lifting and working in increment weather conditions. By signing below, By submitting this online application, I acknowledge that I do not have any physical injuries that could prevent me from doing the job in which I am applying.