Veterinary Emergency & Specialty Centers LLC


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Career Center

Apply for Position

Please complete all applicable fields and click Submit to send the form.

Name: First Middle Last
Street Address
City
State, Zip	,
Phone
E-mail
Date Available
Social Security Number
Desired Salary
Position Applied for
Clinic Location you are applying to	Albuquerque Santa Fe Both
Are you a citizen of the United States?	Yes No
If no above, are you authorized to work in the U.S.?	Yes No
Have you ever worked for this company?	Yes No If so, when?
Have you ever been convicted of a felony?	Yes No If so, explain:
Education
High School Name
High School Address
Attended High School (mo/yr)	From To Did you Graduate? (check for yes)
College Name
College Address
Attended College (mo/yr)	From To Did you Graduate? (check for yes)
College Degree Earned
Other Education	please provide institution name, address,dates attended, and certificate/degree earned
References
Please provide three professional references. (reference name, company/relationship, address and phone number)
reference 1
reference 2
reference 3
Previous Employment	Starting with the most recent position
Position 1:
Company Name
Address
Phone
Supervisor
Job Title
Salary (starting/ending)	/
Responsibilities
Dates of Employment	From To
Reason for Leaving
May we contact your previous supervisor for a reference?	Yes No
Position 2:
Company Name
Address
Phone
Supervisor
Job Title
Salary (starting/ending)	/
Responsibilities
Dates of Employment	From To
Reason for Leaving
May we contact your previous supervisor for a reference?	Yes No
Position 3:
Company Name
Address
Phone
Supervisor
Job Title
Salary (starting/ending)	/
Responsibilities
Dates of Employment	From To
Reason for Leaving
May we contact your previous supervisor for a reference?	Yes No
Military Service
Branch
Dates of Service	From To
Rank at Discharge
Type of Discaharge
If other than honorable, please explain

We will print this form and have you sign the following disclaimer when you interview: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *Click Submit* below to send your form data to VESC**

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> Download a pdf version of the VESC Employment Form, to print and fill out by hand.