Hospital Technician Application – Georgetown Veterinary Hospital

EQUAL EMPLOYMENT OPPORTUNITY

Georgetown Veterinary Hospital is an equal employment opportunity employer. The Hospital is committed to com- plying with applicable equal employment laws and does not discriminated in employment on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, age, medical condition, disability, genetic information, veteran status, or other legally protected status.

Name*

First Middle Last

Other Name(s)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Telephone*

Other Telephone

Email Address*

Are you eligible to work in the United States of America?*

(If offered employment, you will be required to provide documentation to verify your eligibility.)

Yes
No

Are you 18 years of age or older?*

Yes
No

MILITARY SERVICE

Please do not reference your résumé.

Branch of Service

Dates of Service

EDUCATION

Please do not reference your résumé. Please provide, if applicable 1. name of the school 2. City & State 3. Degree and area of study 4. Other (e.g., GED, Trade or Vocational School, etc.) 5. and whether you graduated

High School

College

Graduate School

Other (e.g., GED, Trade or Vocational School, etc.)

TRAINING / SKILLS

Please do not reference your résumé.

List training and special skills which would qualify you for the position you seek.

LICENSES / CERTIFICATES

Please do not reference your résumé.

List all current and valid licenses and/or certificates you hold (e.g., Veterinary, Accounting, Medical, Nursing, etc.)

Include 1. Type and State 2. Number 3. Expiration Date

EMPLOYMENT HISTORY

Please do not reference your résumé. List all current and previous employment starting with your most recent position (including all seasonal, part-time and short-term employment and military service). Include all periods of self-employment. This section must be completed regard- less of information provided on résumé. Failure to list complete and accurate information may result in disqualification or termination of employment.

Latest Employment

Job Title

Supervisor Name and Title

Employment dates (month / year)

Employment Status

Full-time
Part-time

Salary

Reason for Leaving

Description of Work

May we contact this employer?

Yes
No

Employer Name

First Last

Employer Telephone

Employment 2

Job Title

Supervisor Name and Title

Employment Status

Full-time
Part-time

Salary

Employment dates (month / year)

Reason for Leaving

Description of Work

May we contact this employer?

Yes
No

Employer Name

First Last

Employer Telephone

Employment 3

Job Title

Supervisor Name and Title

Employment dates (month / year)

Employment Status

Full-time
Part-time

Salary

Employment dates (month / year)

Reason for Leaving

Description of Work

May we contact this employer?

Yes
No

Employer Name

First Last

Employer Telephone

EMPLOYMENT HISTORY CONTINUED

Please do not reference your résumé. If you wish to describe additional employment experience, please provide the hospital with a copy of all relevant experience through a separate email.

Please explain any gaps in your employment history.

EMPLOYMENT SPECIFICATIONS AND AVAILABILITY FOR WORK

Position Sought

Desired Salary

Available for:

Please specify if other

Available to work overtime?

Yes
No

Date available for work?

Do you have ownership (partial or full) in a business that may be considered a conflict of interest?

Yes
No

If YES please explain

Application Source

How did you learn about this job vacancy?

If other please specify

References

Please provide us with the name, phone, position, organization and email of your chosen references. Please also specify for how long you have known each reference.

Reference 1

Reference 2

Reference 3

Technician Skills Assessment

The following questions and scenarios are designed to help us better understand your aptitude for working in veterinary medicine. Please answer them to the best of your ability, according to what you know now and your past experiences. Lack of technical information will not preclude you from being considered for a position.

Attention to Detail

Any position in veterinary medicine requires you to show great attention to detail and follow-through. Explain why it is important to ensure that the details are accurate in the following two situations:

A. You are entering notes into the system about a conversation you just had with a confused and frustrated client who wants to speak to the Practice Manager. Why is it important to document your notes accurately and in detail?*

B. Dr. Johnson has an appointment at 3:00 PM for a pet named "Fluffy" Smith, who's presenting for an upper respiratory infection. Dr. Nichols has an appointment at 3:00 PM for a pet named "Fluffy" Smith, who's presenting for euthanasia. Why is it important to ensure you're paying attention to details?*

You are filling a medication and when the drug label is printed, the quantity appears unclear.*

You ask for help from a coworker.
You fill the medication according to what you think the label shows.
You look in the computer to see what was invoiced to the client and try to reprint the label correctly.

Explain why it is important to have clear and effective inter-departmental communication.*

Use this space to let us know what skills you posses in this area that would make you an asset to our team.*

Veterinary Medicine

These are concepts that we encounter regularly in the veterinary field. Some may be difficult to explain to clients, while others may be difficult to experience on a daily basis. Again, lack of technical knowledge does not automatically preclude you from being considered for the position.

What are some rewarding experiences you've had with animals?*

Are you able to bend, kneel, squat, crouch and lift up to 50 pounds?*

How do you feel about cleaning up after animals?*

(E.g. vomit, feces and urine)

Would you be comfortable handling animals of all sizes, from large dogs to small exotic pets if properly trained in handling and restraint techniques?*

How would you approach and handle a scared animal?*

What kinds of animals have you had experience handling and caring for?*

Do you think it's important for pets to be spayed and neutered? Why or why not?*

Why should pets receive vaccines?*

How do you think you'll feel when you're asked to assist in euthanizing an animal?*

How do you imagine a typical day working at a veterinary hospital?*

Whose responsibility is it to educate clients on how to best care for their pets?*

Indicate the skills you feel very comfortable performing and have done successfully more than 10 times.*

Work Ethic

"Work ethic" can be described as the set of moral principles you use in order to do your job in a conscientious way. The following questions give you an opportunity to display your sense of ethical behavior in regards to your career.

How do you maintain your composure during times of high stress, adversity and tension?*

How would you respond if a doctor or supervisor asks you to do something in a terse and hasty manner?*

What strategies have you used in past jobs to work effectively with your teammates? Include any examples where you've had to work alongside people you didn't particularly care for.*

How do you feel about performing duties that aren't part of your job description?*

What does "integrity" mean to you?*

If the office was understaffed and you were asked to come in to help on your day off, would you come?*

How would you handle a situation in which you disagreed with the veterinarian's choice of care?*

What's the biggest mistake you've made in a job setting and what did you learn from it?*

If you were to be hired, what do you imagine would be the most difficult part of this job? What do you think would be the easiest?*

Tell us about a time when you had to help an unhappy customer.*

What would you do if you saw a fellow technician make a mistake?*

What would you do if you felt an animal you were treating had been abused?*

Logic and Reasoning

"Common sense" is defined as "sound, practical judgement that is independent of specialized knowledge." These questions will help determine your propensity for making decisions based on rational, logical thinking.

1. A little girl kicks a soccer ball. It goes away from her 10 feet and then comes back. How is this possible? (There is no wall or other person involved.)*

2. "A" is the father of "B" but "B" is not the son of "A." How is that possible?*

3. What has a head and a tail but no body?*

4. A man dressed in all black is walking down a country road. Suddenly a large black car with no headlights turned on comes around the corner and screeches to a halt. How did the driver of the car know the man was there?*

5. A rooster laid an egg on a barn roof. Which way did it roll?*

6. If there are 6 apples and you take 4 away, how many do you have?*

7. Some months have 31 days, others have 30 days. How many months have 28 days?*

8. Which is heavier, 100 pounds of rocks or 100 pounds of feathers?*

APPLICANT STATEMENT

I hereby certify that all information I have provided in order to apply for and secure employment with Georgetown Veterinary Hospital is true, complete, and thorough. I hereby authorize Georgetown Veterinary Hospital (or duly authorized representative) to thoroughly investigate my background, any statement made on this application, references, employment record, and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Georgetown Veterinary Hospital (or duly authorized representative) to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation and/or omission of facts regardless of when it is found, may result in rejection of this application, or if hired, termination of employment. Should I become employed by Georgetown Veterinary Hospital, I understand that my employment will be for no definite period of the term and that I will have the right to terminate my employment at any time, at my convenience, with or without cause or reason. I further understand that Georgetown Veterinary Hospital will have the same right. I understand that I am expected to comply with all policies, rules, and procedures of the organization and agree that any handbook I receive will not constitute an employment contract, but will be a statement of the organization’s policies and procedures. By my submission, I certify that I have read, fully understand, and accept all terms of the above Applicant Statement.

Hospital Technician

GEORGETOWN VETERINARY HOSPITAL - TECHNICIAN APPLICATION

EQUAL EMPLOYMENT OPPORTUNITY

MILITARY SERVICE

EDUCATION

TRAINING / SKILLS

LICENSES / CERTIFICATES

EMPLOYMENT HISTORY

Latest Employment

Employment 2

Employment 3

EMPLOYMENT HISTORY CONTINUED

EMPLOYMENT SPECIFICATIONS AND AVAILABILITY FOR WORK

Application Source

References

Technician Skills Assessment

Attention to Detail

Veterinary Medicine

Work Ethic

Logic and Reasoning

APPLICANT STATEMENT