Apply for Employment with Harmony

Employment Application

Step 1 of 9

Name and Address
Applicant Name:*
First Last
Email:*
Enter Email Confirm Email
Phone*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Here*
Former Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years There

References
Give names of two people, not relatives or former employers, who have known you for five years.
Reference 1*
First Last
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Number of Years Known*
Reference 2*
First Last
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Number of Years Known*

Employment History
List the most recent employer, or last employer, first. Include military service or any self-employed or unemployed periods. YOU MUST ACCOUNT FOR THE PAST TEN YEARS OR SINCE COMPLETING SCHOOL. Also, include all relevant experience.
Current or Most Recent Employer
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Last Pay Rate
Last Position Held
Last Supervisor's Name
Why are you considering leaving/Why did you leave?
Liked Most About Job?
Liked Least About Job?
Past Employer(s)
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Last Pay Rate
Last Position Held
Last Supervisor's Name
Why did you leave?
Like Most About Job?
Like Least About Job?
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Last Pay Rate
Last Position Held
Last Supervisor's Name
Why did you leave?
Liked Most About Job?
Liked Least About Job?
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Last Pay Rate
Last Position Held
Last Supervisor's Name
Why did you leave?
Liked Most About Job?
Liked Least About Job?

Conditions of Employment
Harmony Animal Hospital sets a high standard for its employees. We require compliance with these standards as a condition of employment. You need to carefully consider what will be required before considering a position with us. As an employee of Harmony Animal Hospital, you are expected to comply in full. You need to know and understand that Harmony Animal Hospital will require you to:
- Meet the performance standards of the position.
- Work the hours scheduled and report to work on time.
- Take direction from supervisors and execute that direction to the best of your ability.
- Maintain a positive, enthusiastic attitude at all times. Be a cooperative member of the staff.
- Train, as needed, to keep a high-performance level on your job.
- Maintain a business-like, professional appearance (dress and grooming).
Would you be able to comply with all the requirements as listed?*
- Yes
- No
If "no" or you have any concerns about being able to comply with any of these requirements, please explain:
Acknowledgements and Agreements
ALL APPLICANTS–Please read the following and address any questions to the Personnel Representative signing below. I acknowledge that in connection with my application for employment, promotion, or reassignment with Harmony Animal Hospital, an investigative consumer report or other inquiry may be made as to my character, general reputation, personal characteristics and mode of living. If a report is made, I have been advised further that upon written request within a reasonable amount of time, additional information as to the nature and scope of the report, if one is made, will be provided. This written request should be addressed to the Personnel Department where this application is made. I hereby authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any and all information pertinent to my employment and release the same from any liability resulting from providing such information. Harmony Animal Hospital has my permission to make said inquiries and I hereby release Harmony Animal Hospital from any liability in making said request or in relying on the information received. I understand that satisfactory reports are a condition of my employment with Harmony Animal Hospital. I further understand that my employment with Harmony Animal Hospital will be terminated if management determines that said reports are unsatisfactory. I hereby certify that all statements and answers made on this Employment Agreement are complete and true. I understand that if subsequent to employment any of such statements and/or answers are found to be false or that information is omitted, such false statements or omissions will be considered grounds for termination of my employment.
Applicant/Employee Electronic Signature*
Date*
MM slash DD slash YYYY
Practice Manager Signature
Date
MM slash DD slash YYYY

Mon	Tues	Wed	Thur	Fri	Sat	Sun

Hospital (919) 303-3456

Resort & Spa (919) 323-8877

Employment Application

Apply for Employment with Harmony

Employment Application

Step 1 of 9

Name and Address

Position Desired

Work Schedule

Employment Status

Educational Background

References

Employment History

Current or Most Recent Employer

Past Employer(s)

Career Purposes and Goals

Other Information

In Case of Emergency

Conditions of Employment

Acknowledgements and Agreements

Authorization For Release of Information