


Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
An employment application form from vca inc. It includes sections for personal information, education record, and employment history. The form asks for the applicant's name, contact information, previous addresses, wage expected, and how they heard about the opportunity. It also includes a statement about equal employment opportunities and a certification for the applicant to sign.
Typology: Study notes
1 / 4
This page cannot be seen from the preview
Don't miss anything!
First Name Middle Name Last Name
Other Names Used
Current Street Address City State Zip
Previous Address (if fewer than 5 years at current address) City State Zip
Mobile Phone Home Phone Personal Email
Position Applied for: Full-Time Part-Time Temporary On Call
Wage Expected ______________________________ Hourly Annually
How did you hear about this opportunity? Advertisement, please specify source: ________________________________________________________ Job Board, please specific name of site: _____________________________________________________ VCA Employee R e f e r r a l , p l e a s e i n d i c a t e n a m e :________________________________________________ VCA Website Acquisition/Merger
Have you ever been employed by VCA Inc. or any of its divisions including Antech, Sound, Camp Bow Wow, AVC (Canada)?
Yes (when and where?) No
Do you have any relatives working for VCA Inc. or any of its divisions?
Yes - Please indicate name and relationship No
Are you at least 18 years of age? Yes No
If hired, are you able to provide verification of your identity and legal right to work in the United States? Yes No
School Name, City and State of School Course of Study, Major, or Specialty
Number of Years Completed
Did you graduate?
List Degree or Diploma
High School
College/University Graduate Other (trade tech, correspondence , military or professional credentials)
V C A I n c. will provide equal employment opportunities to all applicants without regard to an applicant's race, color, religion, gender, genetic information, national origin, age, veteran status, disability, or any other status or characteristic protected by law. VCA I nc. will provide reasonable accommodations to allow an applicant to participate in the hiring process (e.g., accommodation for a test or job interview) if so requested. All employment at VCA Inc. is “at will” and may be terminated at any time by either party.
Name of Employer
Start date End date
Job Title Phone Employer’s Address
Supervisor’s Name Starting Rate of Pay Ending rate of pay Supervisor’s Job Title Supervisor’s Phone or Email Reason(s) for leaving
Work performed
May we contact this employer for a reference or to verify information you have provided? Yes No (if no, please explain)
Name of Employer
Start date End date
Job Title Phone
Employer’s Address
Supervisor’s Name Starting Rate of Pay Ending rate of pay
Supervisor’s Job Title Supervisor’s Phone or Email Reason(s) for leaving
Work performed
May we contact this employer for a reference or to verify information you have provided? Yes No (if no, please explain)
Name of Employer
Start date End date
Job Title Phone
Employer’s Address
Supervisor’s Name Starting Rate of Pay^ Ending rate of pay
Supervisor’s Job Title Supervisor’s Phone or Email Reason(s) for leaving
Work performed
May we contact this employer for a reference or to verify information you have provided? Yes No (if no, please explain)
Name Position
Company Phone
Relationship to applicant Email
Name Position
Company Phone
Relationship to applicant Email
Name Position
Company Phone
Relationship to applicant Email
Is there anything about you or your connection with another person or business which could potentially interfere with your work at VCA Inc. or possibly create a conflict of interest? No Yes - Please explain fully
EMPLOYMENT APPLICATION CERTIFICATION
Rev. 5/