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Download Our App|(845) 783-2333

Services
Hours & Location
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Contact

Download Our App
(845) 783-2333

Services
Hours & Location
About Us
Contact

Employment Application

Are you legally authorized to work in the US?*

Yes

No

Are you at least 18 years of age?*

Yes

No

Have you worked for Vetcor in the past?*

Yes

No

APPLYING FOR

What position are you applying for?*

Client Service Representative

LVT

Assistant

How did you hear about the position?

I am a client

Walk in

Online

Other:

Referred by:

How many hours are you looking to work each week?*

When can you start?*

What is your expected hourly rate?*

QUALIFICATIONS

Are you currently employed?*

Yes

No

FORMER EMPLOYERS

Please list your last 3 employers:

From - To (mo/yr)
Employer Name, City, State
Telephone
Position
Reason for Leaving
From - To (mo/yr)
Employer Name, City, State
Telephone
Position
Reason for Leaving
From - To (mo/yr)
Employer Name, City, State
Telephone
Position
Reason for Leaving

EDUCATION

Please list name and location of school, years completed, degree received:

College
High School
Other

Special Skills or Training Relevant to Position

Something interesting about myself that I want you to know is...

Goosepond Animal Hospital

1110 NY-17M
Monroe, NY 10950

phone: (845) 783-2333
fax: (845) 746-2351 • email us

Serving the Monroe, NY area including (but not limited to): Blooming Grove, Chester, Goshen, Harriman, Monroe, Warwick, and Washingtonville.

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