Our dog Maxx got hit by a car 2 weeks after my back surgery and I saw it happen. My neighbors helped me load Maxx into my mom's truck and we rushed him to the E.R at 8:30 at night and this Pet E.R. saved my dog's life. I wanted to thank them so much, without them I wouldn't have Maxx today. They do and hopefully will continue to do great things for a long time to come. Again, I thank the Pet E.R. I recommend them highly!!!!
- anonymous, Wichita KS
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Employment



Name:
Address:
City: State: Zip:
Telephone:     Cell:
Email:

How did you learn about our company?

Position Sought:
Full Time or Part Time: Full-time Part-time Either
Available Shifts: 1st 2nd 3rd
Available Start Date:
Number of Hours Preferred:
Desired Pay Range:
Are you willing to work weekends? Yes No
Are you willing to work holidays? Yes No
Are you currently employed? Yes No
Can you submit proof of legal employment authorization and identity? Yes No


EDUCATION

Name and LocationGraduate? – Degree?Major / Subjects of Study
High School:
College:
Specialized Training:
Other:

Please list your areas of highest proficiency, special skills (including any veterinary technical skills) or other items that may contribute to your abilities in performing the above mentioned position.

PREVIOUS EXPERIENCE
Please list beginning from most recent

Dates EmployedCompany NameStarting Salary  Ending Salary
$   $
Phone NumberAddressRole/Title
May we contact? Yes No

Job details, tasks performed and reason for leaving:



PERSONAL/PROFESSIONAL REFERENCES
(Do not include family members)

NamePhoneBest Time to CallOccupation
1.
2.
3.


I authorize investigation of all statements contained in this application. In addition, I authorize the references listed to give Veterinary Services Group, LLC (“VSG”) any and all information concerning my previous employment and pertinent information they may have personally and otherwise. I release all parties from all liability for any damage that may result from furnishing the same to VSG.

I understand that any employment offer is conditioned upon, among other things, proving my eligibility to work in the United States.

I agree to submit to an alcohol or drug screening test as required by VSG, and understand that refusal to do so, or positive results, may result in either the withdrawal of any employment offer or termination of employment.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements or omissions on this application shall be grounds for dismissal with no liability on the part of VSG.

I understand that any employment offer and my continued employment with VSG is contingent upon the completion of a satisfactory background check. I understand and agree that my refusal to authorize a background check or the existence of a criminal record may result in either the withdrawal of any employment offer or the termination of my employment with VSG.

 Checking this box, means I've agreed to the aforementioned terms and consent form.

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