Join our Team!

Cleveland Heights
Animal Hospital
3710 Cleveland Heights Blvd
Lakeland, Florida 33803
myvet@pethospital.com
863.646.2995

Positions Currently Available at CHAH:

We have one opening for a person who loves pets and people!

1. In-patient veterinary nurse position available

Please apply in person at Cleveland Heights - full-time jobs available - must be willing to work some
early evenings and some week-ends. Please ask to speak with Client Service Coordinator, Sandi Wells

We are always interested in talking with Veterinarians considering a move to Central Florida!

Application for Employment at Cleveland Heights Animal Hospital

Position(s) applied for __________________Date of application ___________________

Name ________________________________Social Security # _________________________

Address _______________________________________________________________________

Telephone# ( ) _____________Mobile/Beeper/Other Phone # ( )_____________E-mail Address:_____________

If you are under 18, and it is required, can you furnish a work permit?………………………. YES NO

If no, please explain_________________________________________________________________________________

Have you ever been employed here before? If yes, give dates and positions YES NO ____________________________

Are you legally eligible for employment in this country? YES NO

Date available for work _______________What is your desired salary range? $____________

Type of employment desired Full Time Part-Time Temporary Seasonal Educational Co-Op

Are you able to meet the attendance requirements of the position? YES NO

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? YES NO

If yes, please provide date(s) and details_____________________________________________

Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense,

seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Employment History

Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent.

From To	Employer Telephone #
Starting Job Title/Final Job Title	Address
Immediate Supervisor and Title	Summarize the Nature of Work Performed and Job Responsibilities
May We Contact For Reference? Yes No Later
Reason for Leaving	Hourly Rate/Salary Start $ Per Final $ Per
From To	Employer Telephone #
Starting Job Title/Final Job Title	Address
Immediate Supervisor and Title	Summarize the Nature of Work Performed and Job Responsibilities
May We Contact For Reference? Yes No Later
Reason for Leaving	Hourly Rate/Salary Start $ Per Final $ Per
From To	Employer Telephone #
Starting Job Title/Final Job Title	Address
Immediate Supervisor and Title	Summarize the Nature of Work Performed and Job Responsibilities
May We Contact For Reference? Yes No Later
Reason for Leaving	Hourly Rate/Salary Start $ Per Final $ Per

Skill and Qualifications

Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job related functions in the position for which you are applying._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Educational Background (if job related)

Name and Location	Number of years completed	Did you Graduate?	Course Study
High School
College		Major Degree
Other

References

Name	Telephone	Number of Years Known

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that nay information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (I) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employees, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Signature of Applicant ______________________________________________________________________ Date _____________________