Application for Employment

Our Office

9501 Lakeview Parkway
(Across from Baylor Scott & White Medical Center)
Rowlett, TX 75088
972-412-0101
Text 972-805-1451
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Hours

Mon - Fri:
7 AM - 7 PM

Sat:
8 AM - 2 PM

Directions

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*Required information.

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It is the policy of Animal Hospital of Rowlett (“AHR”) to provide equal employment opportunities without regard to race, sex, color, religion, creed, national origin, disability, veteran status, age or any other legally protected characteristics. This policy applies to all terms and conditions of employment, including the hiring process.

*The minimum legal age for employment at Animal Hospital of Rowlett is 16.

Employment Desired

Position
Full time/Part time	Full Time Part Time
Date you can begin
Desired Salary

Personal Information

Last Name
First Name
Middle Initial
Address
City/State/Zip
Home Phone
Cell Phone
Email Address
Social Security Number
Referred By
List other names by which you've been known
Criminal History: before answering the next set of questions, please carefully read all of the following instructions and definitions: A "conviction" includes pleas, verdicts and findings or admissions of guilt, regardless of whether a sentence was imposed by a court, and includes dispositions such as deferred adjudication.
Have you ever been convicted of a criminal felony or misdemeanor? (Do not include information about arrests that did not result in a conviction)
Are you currently awaiting trial for a misdemeanor or felony arrest for which you are out on bail or on your own recognizance pending trial?
If you answered yes to either of the above questions, please explain and identified for each: the nature of the charge, the date of conviction or trial, the court, county and final disposition (example: probation, deferred adjudication, fine, incarceration, etc.)
Are you now or have you ever been a member of any animal rights group?
If yes, please explain:
Are you able to perform the duties for the job for which you are applying with or without reasonable accommodation?

Education

Hi school attended and location
Did you graduate?
If not, how many years did you attend?
College attended and location
Did you graduate?
What kind of degree?
If not, how many years did you attend?
Special courses or training
Did you graduate?
Degree or certification
If yes, what type?

Experience

Please list any experience and or skills related to the position for which you are applying

Employment History: (Most recent positions first)

Name
Contact Person
Address
City/State/Zip
Telephone
Date Began
Date Ended
Type of Business
Starting Salary type of business
Ending Salary
Job Duties
Reason for Leaving
I authorize animal hospital of Rowlett to contact the employer named above for a reference.	yes
I authorized the employer named above to disclose information pertinent to my work history	yes

Employment History

Name
Contact Person
Address
City/State/Zip
Telephone
Date Began
Date Ended
Type of Business
Starting Salary type of business
Ending Salary
Job Duties
Reason for Leaving
I authorize animal hospital of Rowlett to contact the employer named above for a reference.	yes
I authorized the employer named above to disclose information pertinent to my work history	yes

Employment History

Name
Contact Person
Address
City/State/Zip
Telephone
Date Began
Date Ended
Type of Business
Starting Salary type of business
Ending Salary
Job Duties
Reason for Leaving
I authorize animal hospital of Rowlett to contact the employer named above for a reference.	yes
I authorized the employer named above to disclose information pertinent to my work history	yes

Acknowledgement

The information provided by me in this Application for Employment is true, correct and complete. I understand that any false statements, misrepresentations or a failure to provide complete and truthful answers to the questions asked in this Application will be grounds to reject the Application, to revoke any employment offer made or, in the event that I am hired, to terminate my employment. I and understand that, if I am hired, my employment will be “at-will” which means that I may resign or be terminated from my employment at any time, with or without notice and with or without cause. I understand and agree that, if hired, my status as an at-will employee can not be changed unless it is done so in writing and signed by Dr. Downes or Dr. Huber. I also understand and agree that my Application for Employment does not form a contract for employment or otherwise obligates Animal Hospital of Rowlett to hire me. I also understand and agree that that, if hired, my position, compensation and other terms and conditions of employment may changed, with or without cause, and with or without notice, at any time by Animal Hospital of Rowlett. I understand that acceptance of an offer of employment, if any, does not create a contractual obligation on Animal Hospital of Rowlett to continue to employ me for any period of time. I understand that no oral representations that may be made during the application or interview process or during my subsequent employment, if hired, are binding against Animal Hospital of Rowlett. I understand that any offer of employment may be revoked at any time for any reason. If hired, I agree to conform to Animal Hospital of Rowlett rules, policies and regulations. I understand and agree that, if offered a position at Animal Hospital of Rowlett, any offer will be contingent on my consenting to and passing a criminal background check, a drug test, and a non-medical physical ability test. I authorize Animal Hospital of Rowlett to investigate all statements contained in this Application.
Applicant's Signature *
Today's Date
This application will expire in 30 days from the date of submission

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