Employment Application

Please click HERE to download a PDF of our application if you would rather print and bring in your application; or fill out the form below.


Munster Animal Hospital is an equal opportunity employer. This application will not be used for limited or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.
     
First Name*
  
Last Name*
  
Address 1
  
Address 2
  
City
  
State
  
Zip
  
  Please include area codes
Main Number*
  
Work Number
  
Alternate Number
  
Email Address
  
How were you referred
to the company?*
  
     
Position/Availability
Full-time work?*
  
Part-time work?*
  


Position(s) Applying For*
  
 
Days/Hours Available
Monday:*
   From:
Tuesday:*
   From:
Wednesday:*
   From:
Thursday:*
   From:
Friday:*
   From:
Saturday:*
   From:
Sunday:*
   From:
 
If hired, on what date can you start working?*
  
Can you work weekends?*
  
Can you work evenings?*
  
Salary Desired:*
   $
     
Personal Information
Have you ever applied to/worked at Munster Animal Hospital before?*
  
If yes, please explain and include the date*
  
     
Do you have any friends, relatives, or acquaintances working for Munster Animal Hospital?*
  
If yes, state name & relationship*
  
     
Are you over the age of 18?*
(If under 18, hire is subject to verification of minimum legal age.)
  
     
If hired, would you be able to present evidence of your U.S. citizenship or proof of your
legal right to work in the
United States?*
  
     
If hired, are you willing to
submit to and pass a
controlled substance test?*
  
     
Have you ever been convicted of a criminal offense
(felony or misdemeanor)?*
  
If yes*, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.
  
     
(Please note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered.)
     
     

Education, Training, and Experience
High School
    
School Name:
  
School Address:
  
School City, State, Zip:
  
Number of years completed:
  
Did you graduate?
  
Degree/diploma received?
  
   
College/University
    
School Name:
  
School Address:
  
School City, State, Zip:
  
Number of years completed:
  
Did you graduate?
  
Degree/diploma received?
  
   
Vocational School
    
School Name:
  
School Address:
  
School City, State, Zip:
  
Number of years completed:
  
Did you graduate?
  
Degree/diploma received?
  
     
Military
    
Branch:
  
Rank:
  
Total years of service:
  
Skills/duties:
  
Related details:
  
     
Employment History
Present or Last Position
    
Employer:
  
Address:
  
Supervisor:
  
Phone:
  
Email:
  
Position Title:
  
Start Date/End Date:
   From
Responsibilities:
  
Salary:
  
Reason for Leaving:
  
     
Previous Position
    
Employer:
  
Address:
  
Supervisor:
  
Phone:
  
Email:
  
Position Title:
  
Start Date/End Date:
   From
Responsibilities:
  
Salary:
  
Reason for Leaving:
  
     
May we contact your present/last employer?
  
     
References
Full Name:*
  
Relationship:*
  
Company:
  
Phone:*
  
Address:
  
City:*
  
State:*
  
Zip:*
  
     
Full Name:
  
Relationship:
  
Company:
  
Phone:
  
Address:
  
City:
  
State:
  
Zip:
  
     
Full Name:
  
Relationship:
  
Company:
  
Phone:
  
Address:
  
City:
  
State:
  
Zip:
  
     
     
Disclaimer and Signature
I certify that information contained in the application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
     
Electronic Signature:*
  
Date:*
  
     
   

* indicates a required field