Shelter Medicine Technician Application

Name of employer

Address

Phone

Position Held

Supervisor Name

May we contact this employer?

Duties Summary

Name of Employer

Address

Phone

Position Held

Supervisor Name

May we contact this employer?

Duties Summary

Name of Employer

Address

Phone

Position Held

Supervisor Name

May we contact this employer?

Duties Summary

School Name

Type

Major/Minor (if applicable)

Did you graduate?

School Name

Type

Certificates and Licenses

Skills

Languages

Cover letter

Resume

Can you perform the essential functions of this position with or without reasonable accommodation?

Are you available to work one of the following shifts?

How many years of professional experience do you have in animal care?

Please provide an example of a time where you went above and beyond to provide excellent animal care.

Please describe your thought process when triaging.

Please explain the steps you would take if a kitten presented with a high fever late on a Friday afternoon.

How would you provide oral medications to a moderately difficult animal?

Has Animal Control ever been called to your home?

Please provide your veterinarians name, your pets name, and the owner's name that any records would be under for a vet check. (if you have not had any pets in your home in the last 5 years, please write "not applicable")

I am at least 18 years of age and it is legal for me to work in the United States.

By signing below, I certify that all of the above information is correct to the best of my knowledge. I understand that misrepresentation of any information may mean removal of my application from consideration.