Midlothian Animal Clinic, a five-doctor practice located in Midlothian, VA, is a state-of-the-art facility that provides veterinary care to companion animals.  We have a wonderful team of professionals who care very much about preserving the bond between pets and their owners.  We ask that all applicants possess the following skills:

• The ability to work in a fast-paced practice, while still meeting superb client service skills.
• Have excellent interpersonal skills and be able to to interact and communicate clearly with people
• The ability to work evenings, weekends and holidays as needed
• The ability to work as a dynamic team member dedicated to excellence and quality care
• Be able to lift 35 lbs
• Be ready and excited to work as part of a dynamic team dedicated to quality care
• Feel comfortable operating basic office equipment, including but not limited to a multi-line phone and fax/copier as well as specialized equipment
• Experience in the veterinary field is preferred
• Excellent professional references are required.

  APPLICATION FOR EMPLOYMENT
  If you prefer to download our PDF form instead of using our online form, please click the link below and fax the completed form to 804-794-3015. Application for Employment
  Date:	February 22, 2012
  Position Applying For:
  Name:
  Mailing Address:
  City, State, Zip:	,
  Phone:
  Alternate Phone:
  E-Mail:
  Social Security Number:	(xxx-xx-xxxx)
  Are you currently employed? If so, may we contact your current employer for reference?	Yes   No If you answered no, please explain:
  EDUCATION
  High School:
  Did you graduate?	Yes   No
  College:
  Major Subjects:
  Did you graduate?	Yes   No
  Other Education:
  Major Subjects:
  Did you graduate?	Yes   No
  Subjects of Interest?
  Special Training:
  Activities (Civic, Athletic, Etc.)
  Have you ever been convicted of a felony?	Yes   No If yes, please explain:

  
  

  SKILLS
  Have you had experience in the following areas?			Skill Level
  Typing:	Yes	No	Beg	Inter	Adv
  Microsoft Word:	Yes	No	Beg	Inter	Adv
  Microsoft Excel:	Yes	No	Beg	Inter	Adv
  Telephone Skills:	Yes	No	Beg	Inter	Adv
  Medical Charting:	Yes	No	Beg	Inter	Adv
  Animal Health:	Yes	No	Beg	Inter	Adv
  Animal Handling:	Yes	No	Beg	Inter	Adv
  			Beg = Beginner Inter = Intermediate Adv = Advanced

  
  

  EMPLOYMENT HISTORY
  Please list the most recent employer first:
  Date (Month/Year)		Name / Phone		Salary	Position	Reason for Leaving
  From:		Emp. Name:
  To:		Phone:
  From:		Emp. Name:
  To:		Phone:
  From:		Emp. Name:
  To:		Phone:
  From:		Emp. Name:
  To:		Phone:

  
  

  PERSONAL REFERENCES
  Name	Address / Phone		Business	Years Acquainted
  	Address:
  	Phone:
  	Address:
  	Phone:
  	Address:
  	Phone:
  	Address:
  	Phone:

  
  

  EMERGENCY CONTACT
  In case of emergency, notify:
  Address:
  Phone:
  ADDITIONAL INFORMATION
  Please complete the following information:
  1. Describe the responsibilities on your present or last job. Please give a detailed response.
  2. What factors would contribute to your sense of satisfaction on a job?
  3. What aspects of working with people do you find enjoyable, and what if, any do you find less enjoyable?
  4. What is your idea of excellent Customer Service?
  5. How do you feel about working as part of a team?
  6. What specific aspects of your education or experience do you consider to be beneficial to this position?
  	I authorize investigation of all statements contained in this application.  I understand and agree that my employment with Midlothian Animal Clinic is for no definite period of time and may be terminated at any time.