Complete the form and we will contact you after further review. Thank you for your interest in becoming a member of our care team. 

If you prefer to complete this application on paper, use our PDF version and mail or deliver to our clinic with a copy of your resume.

Name *
Name
Address *
Address
Phone *
Phone
Employment History
Current/Previous Employment (No Less Than Three)
Supervisor Name
Supervisor Name
Address
Address
Phone
Phone
Start Date
Start Date
End Date
End Date
$
Supervisor Name
Supervisor Name
Address
Address
Phone
Phone
Start Date
Start Date
End Date
End Date
$
Supervisor Name
Supervisor Name
Address
Address
Phone
Phone
Start Date
Start Date
End Date
End Date
$
Education
Enrollment Start Date
Enrollment Start Date
Enrollment End Date
Enrollment End Date
Certifications/Licensure
Issue Date
Issue Date
Expiration
Expiration
Issue Date
Issue Date
Expiration
Expiration
References
PLEASE LIST THREE INDIVIDUALS WHO ARE IN A POSITION TO EVALUATE YOUR PERFORMANCE, EXPERIENCE, AND ACCOMPLISHMENTS.
Reference Name 1 *
Reference Name 1
Phone
Phone
Reference Name 2 *
Reference Name 2
Phone
Phone
Reference Name 3 *
Reference Name 3
Phone
Phone
I understand that if hired, I will serve a voluntary period of introductory employment, generally up to 90 days, during which I may separate myself or be separated involuntarily without notice. I understand that any offer of employment is contingent upon passing a criminal background check and authorize Stayton Veterinary Hospital to run one. I release Stayton Veterinary Hospital and all providers of information from any liability as a result of furnishing and receiving any information related to the hiring process. I am affirming that I am physically capable of carrying out my job which includes lifting up to 50 pounds and being on my feet for the majority of the work day. I am affirming the statements I have made on this application and that any additional written or oral information is true. I understand that any false statements, misrepresentation or material omission is sufficient ground for the hospital to reject this application and employment. Typing your name in the field below represents a digital signature.
THANK YOU FOR COMPLETING THIS ONLINE APPLICATION. WE WILL BE IN CONTACT REGARDING OUR NEXT STEP IN THE HIRING PROCESS IF YOU ARE SELECTED FOR AN INTERVIEW. WE LOOK FORWARD TO MEETING YOU.