McLean Animal Hospital

Request An Appointment

(703) 356-5000

Employment Application – Kennel

An Equal Opportunity Employer

We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status, or handicap. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.

Name
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Address
Would you work?
Do you smoke?
U.S. Citizen?
If no, do you have a valid work permit?
Have you ever been convicted of a felony?
Have you ever filed Workman’s Compensation?
Have you previously applied here?
Have you worked for any firm under a different name?
Do you have any physical conditions which would limit your performance of the job for which you are applying?
Would you take a physical examination if required?
Personal References (Not former employers or relatives)
Name & Occupation
Address
Phone Number
 
Membership in Professional or Civiic Organizations (Do not include racial, religious, or nationality groups)
Name or Description of Organization
When Did you actively participate?
Offices Held
 
Education Record – include high school, college, business or trade schools or any other education
Name of School
Dates Attended
Degree Awarded
Grade Avg
Honors
 
Do you type?

Work History (Beginning with the most recent, List below all past employers, including any pertinent military experience)

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