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Employment Application

Please fill out the form below and we will be in touch with you as soon as possible. Thank you!

Your Contact Information

Name

City

State

Zip

Phone

Position(s) You Are Applying For

Employment desired Full Time Part Time

Position(s) you would like to be considered for

Veterinary Assistant

Client Care Assistant

Groomer

Licensed Veterinary Technician

Pet Care Assistant

Human Resource Generalist

Please describe any experience or training that relates to the position that you are applying for

How did you hear about this position(s)?

Educational History

High School

High School Name, City and State

Number of years attended

Did you graduate? Yes No

Degree earned

College or Technical School #1

Name, City and State

Number of years attended

What was your major, or focus of classes?

Did you graduate? Yes No

Degree Earned

College or Technical School #2

Name, City and State

Number of years attended

What was your major, or focus of classes?

Did you graduate? Yes No

Degree Earned

About You

For reference and background purposes, have you ever been known by any other name? Yes No

If you answered "Yes" above, please provide those alternatives names below:

Are you under the age of 18? Yes No

Have you ever been employed with us before? Yes No

Do you have any relatives currently employed with Cascade Hospital for Animals? Yes No

If you answered "Yes" above, please indicate who

Within the past five years, have you been convicted of a felony, or within the past two years, of any Misdemeanor or are you presently formally charged with committing a criminal offense? Yes No

If you answered "Yes" above, please furnish details of conviction, offense, location, date and sentence

Within the past three years, have you ever knowingly used any narcotics, amphetamines or barbiturates, other than those prescribed to you by a physician? Yes No

If you answered "Yes" above, please furnish details

Employment History

Current or Most Recent Employer

Current or Most Recent Employer Employer's Name and Location

Supervisor's Name

Employer/Supervisor's Telephone Number

May we contact as a reference? Yes No

Position and Duties

Employment Status

Start

End

Starting Hourly Wage

Ending/Current Hourly Wage

Reason for leaving

Employer 2

Current or Most Recent Employer Employer's Name and Location

Supervisor's Name

Employer/Supervisor's Telephone Number

May we contact as a reference? Yes No

Position and Duties

Employment Status

Start

End

Starting Hourly Wage

Ending/Current Hourly Wage

Reason for leaving

Employer 3

Current or Most Recent Employer Employer's Name and Location

Supervisor's Name

Employer/Supervisor's Telephone Number

May we contact as a reference? Yes No

Position and Duties

Employment Status

Start

End

Starting Hourly Wage

Ending/Current Hourly Wage

Reason for leaving

Availability

Please indicate the days below you are available to work

Choose days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

If you have certain restrictions on the days and/or hours you are unable to work, please list those days, dates and times below

Applicant’s Consent and Understanding

Equal Employment Opportunity and Disability Accommodation:
Cascade Hospital for Animals is an equal opportunity employer and subscribes to a policy of nondiscrimination in all aspects of employment. Cascade Hospital for Animals will not discriminate on the basis of race, creed, ancestry, color, religion, national origin, sex, age, height, weight, marital status, disability, or any other reason prohibited by applicable laws.
Under Michigan law, a job applicant may not be discriminated against in his/her application for employment because of a disability that can be reasonably accommodated to enable the employee to apply for the job. Disabled employees [job applicants] who believe accommodation is needed to perform a job [apply for the job] must notify the Hospital Administrator in writing of the need for accommodation within 182 days after the date the employee [job applicant] knew or reasonably should have known that an accommodation was needed.

Upon signing this application, I affirm that the information provided on this Application (and accompanying resume and notes, if any), is true and complete. I understand that any false information, representations, or omissions – oral or written – may disqualify me from further consideration for employment and may result in discipline or dismissal if discovered at a later date. I understand my employment is conditional upon the Hospital obtaining information, including, but not limited to my employment history, education, credit, including disciplinary record, general reputation and character. I authorize Cascade Hospital for Animals to obtain such information or verification from any sources as Cascade Hospital for Animals requires without any obligation to give me written notice of such disclosure. I understand that this serves as notice under the Federal Fair Credit Reporting Act that a consumer report to obtain such information my be procured. I hereby release Cascade Hospital for Animals and all such sources from any liability as a result of such inquiries and disclosures. In consideration of my employment, I agree to conform to the rules and regulations of Cascade Hospital for Animals. I understand that employment with Cascade Hospital for Animals is a voluntary employment-at-will relationship. I understand and agree that my employment is for an indefinite period of time and that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, at the option of either the Hospital of myself. I further understand that the Hospital’s policies and procedures are merely guidelines which are subject to change at the sole discretion of the Hospital and that they do not constitute contracts of employment. I understand that no representative of Cascade Hospital for Animals other than the Hospital Director has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. All agreements shall be expressly stated in writing directed to me personally, and signed by me and the Hospital Director.

Please sign here

Please list today’s date

Please Verify

Thanks for applying!

CASCADE HOSPITAL FOR ANIMALS

6730 Cascade Road SE
Grand Rapids, Mich. 49546
616-949-0960

Location Hours

Monday-Thursday 7:30am – 7 pm
Friday 7:30am – 6 pm
Saturday 8 am – 4 pm
Sunday Closed

BRETON VILLAGE ANIMAL CLINIC

2496 Burton St SE
Grand Rapids, Mich. 49546
616-988-4980

Location Hours

Monday-Friday 7:30am – 6 pm
Saturday Closed
Sunday Closed