John T. Kristy VMD

181 Kings Hwy Fairfield, CT 06825

Fax: 203-336-0878

Date today____________

Position ______________

Engelberg Kristy Animal Hospital LLC is an equal opportunity employer, ensures that all qualified applicants will receive consideration for employment without regard to race, color, sex, age, National origin or handicap.

 Print Name   First     Middle       Last

_________________________________________

Address Number and Street

____________________________________

City, State, Zipcode

____________________________________

Phone Home,_________        Cell___________

Work Preference___________        Rate Expected_____
Employment History. Most recent employer first.  

 

Present, Last Employer Name, Address,

Phone

 Dates employed Job Title Job Description Final Rate of Pay Reason for leaving
1.            
2.            
3.            
4.            
5.            

Names of first three supervisors from above jobs and phone numbers

1. 2. 3.

 

High School years attended  __________________Graduated year_______  Will graduate______

Qualifications:   Computer knowledge_______ Familiar with care of pets_____________

Have you ever been arrested?  Yes (   )   No  (    )  if yes, give details__________________

Allergies Yes (   )   No  (    ) Yes, give details________________________________

List 3 References, not relatives or past employers and phone numbers

1 2. 3.

 

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