5399 Warren Pkwy
Frisco, TX 75034
Mon-Fri 7AM-8PM
Sat 8AM-4PM, Sun 10AM-2PM
Call Us: (972) 715-1890

Employment Application

Personal Information
List convictions, starting dates, nature of offense and where occurred. A conviction will not necessarily disqualify an applicant for employment.
Please list hours for all 7 days of the week
Skills And Licenses
Education
College
High School
Employment History
Provide the following information of your past and current employers assignments and/or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employment History
Provide the following information of your past and current employers assignments and/or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employment History
Provide the following information of your past and current employers assignments and/or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Personal References
List the names of three people, other than relatives, who have known you for at least five years.
Reference 1
Reference 2
Reference 3
Agreement
By submitting this form, I agree to the following: I acknowledge that in connection with my application for employment with Legacy Veterinary Hospital that a consumer report may be made as to my character, general reputation, personal characteristics, and mode of living. I hereby authorize all personnel, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any and all information concerning my background, and release the same from any liability resulting from providing such information. I also acknowledge that from time to time, Legacy Veterinary Hospital may be required to submit certain information with regard to my employment or application therefore to various local, state, and federal government agencies. I hereby authorize Legacy Veterinary Hospital to provide such information and release Legacy Veterinary Hospital, its agents, assigns, and subsidiaries from any liability resulting from submitting such information. I also acknowledge that I have been informed that veterinary hospitals use radiographic equipment, medications, and chemical substance that may cause injury to a fetus. I agree to notify my supervisor immediately if I become pregnant and that hospital policy requires a doctor’s letter for continued employment. I understand that employment with Legacy Veterinary Hospital may be terminated with or without cause at any time by either me, or the hospital management. I hereby certify that all statement and answers set forth on this application form are complete and true, and I understand th at if subsequent to employment any such statement and /or answers are found false or that information has been omitted, such false statement or omissions will be just cause for the termination of my employment.