Employment at Perkiomen Animal Hospital Your Personal Info First Name * Last Name * Are you 18 years of age or older?* Yes No Email * Phone * Please provide your current address.* Address * City * State * Zip * Your Background Source of Referral * Have you ever applied to Perkiomen Animal Hospital?* Yes No If so, when? What position are you interested in applying for? * Are you currently employed?* Yes No If so, may we contact your employer?* Yes No Do you have access to adequate transportation?* Yes No Are you legally eligible for employment in the US?* Yes No Salary at last job? Salary desired? * Have you ever been convicted of a crime?* Yes No Please provide your employment history. Employer One Employer Name * Date Employed From * Date Employed To * Type of Business * Phone Number * Address * City * State * Zip Code * Name and Title of Supervisor * Your Job Title * Description of Duties * Reason(s) for Leaving * May we contact this employer?* Yes No Employer Two Employer Name Date Employed From Date Employed To Type of Business Phone Number Address City State Zip Code Name and Title of Supervisor Your Job Title Description of Duties Reason(s) for Leaving May we contact this employer? Yes No Employer Three Employer Name Date Employed From Date Employed To Type of Business Phone Number Address City State Zip Code Name and Title of Supervisor Your Job Title Description of Duties Reason(s) for Leaving May we contact this employer? Yes No Please provide your education & training. School One School Name * School Location * Major Area of Study * Minor Area of Study * Number of Years Attended * Degree Received * Did you graduate?* Yes No School Two School Name School Location Major Area of Study Minor Area of Study Number of Years Attended Degree Received Did you graduate? Yes No School Three School Name School Location Major Area of Study Minor Area of Study Number of Years Attended Degree Received Did you graduate? Yes No The section below is for any additional skills, certifications, accreditations, merits, or achievements that you would like to list. Additional Skills If you would like to upload a PDF version of your resume and cover letter please do so here. Make sure the file size is under 2MB. By submitting this online application, I hereby acknowledge notification that Perkiomen Animal Hospital may make such investigations and inquiries of my personal, employment, or other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and all persons contacted from all liability. In the event of employment, I understand I am applying for employment which can be terminated at will by either myself or Perkiomen Animal Hospital and that nothing contained in any manual, brochure, or other Perkiomen Animal Hospital materials shall constitute an implied contract of employment. I also acknowledge that Perkiomen Animal Hospital may request previous employment information to evaluate my qualifications for employment. I understand that false or incomplete information in an application for employment may be grounds for dismissal and forfeiture of all related benefits. I understand that I am required to abide by all company rules and regulations. * Required Perkiomen Animal Hospital 919 Gravel Pike Palm, PA 18070 Phone: (215) 679-7019Fax: (215) 541-0231 Our Hours Monday 8 am - 8 pm Tuesday 8 am - 6 pm Wednesday 8 am - 8 pm Thursday 8 am - 6 pm Friday 8 am - 6 pm Saturday 8 am - 12 pm Sunday Closed Accreditations Our Fees We accept most major credit cards, CareCredit, cash, or check with proper identification as forms of payment. We make every effort to ensure our fees are reasonable. We encourage you to discuss fees before services are provided. Payment is expected at the time services are rendered.