Application for Employment - Shiloh Veterinary Hospital

Shiloh Veterinary Hospital is a place where the human-animal bond thrives. We believe in creating a fear-free environment where pets feel safe and loved, and their humans feel informed and supported.

Here, we’re more than just a veterinary clinic – we’re a team dedicated to fostering a positive experience for both pets and their families. We value respect, collaboration, and a passion for creating a fulfilling work environment where every member can grow and contribute.

Are you a veterinary professional who shares our philosophy?

If you’re looking for a place where your dedication to fear-free practice and the human-animal bond is celebrated, we encourage you to join our team!

Start your journey towards a rewarding career at Shiloh Veterinary Hospital. Submit the form below and our team will reach out to you shortly.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Position Sought*
- Front Office Staff
- Certified Vet Technician
Select one*
- Full Time
- Part Time
How did you hear about the position?*
Hourly Wage Desired*
Date Available*
MM slash DD slash YYYY
Are you over 18 years old?*
- Yes
- No
Are you legally eligible for employment in the United States?*
- Yes
- No
(If offered employment, you will be required to provide documentation to verify eligibility.)
Have you ever been previously interviewed by SVH?*
- Yes
- No
Please state the position*
Date interviewed*
MM slash DD slash YYYY
How many years of Phone Answering and Dictation experience do you have?*
How many years of Receptionist experience do you have?*
Have you completed the following level of education: High school or equivalent?*
- Yes
- No
Are you willing to undergo a background check, in accordance with local law/regulations?*
- Yes
- No
Do you reside in York County?*
- Yes
- No
How many years of Veterinary Technician experience do you have?*
Have you completed the following level of education: Associate?*
- Yes
- No
Have you successfully passed the VTNE exam?*
- Yes
- No
Are you willing to undergo a background check, in accordance with local law/regulations?*
- Yes
- No
Do you reside in York County?*
- Yes
- No
Education
Please indicate education/training which you believe qualifies you for the position.
High School: Number of Years Completed (select one)*
- 1
- 2
- 3
- 4
Diploma*
- Yes
- No
G.E.D.*
- Yes
- No
School(s)*
City/State*
Do you have college and/or vocational school education?*
- Yes
- No
College and/or Vocational School: Number of Years Completed (select one)*
- 1
- 2
- 3
- 4
School(s)*
City/State*
Course*
Degrees Earned*
Other Training or Degrees?*
- Yes
- No
School(s)*
City/State*
Major*
Degree or Certificate Earned*
Do you have a professional license or membership?*
- Yes
- No
Type of License(s) Held*
State*
License Number*
Exp. Date*
MM slash DD slash YYYY
Other Professional Memberships*
Skills
Office Skills: Please check all that apply. Please note that you may be required to taking a typing skills test, a phone skills test, and/or a grammar/spelling test as part of the hiring decision process.*
- Typing
- Dictation
- Multi-line Phone System
- Data Entry
- Veterinary Software (Avimark, ImproMed, etc.)
- Other Software Skills (Word, Quick Books, HTML)
When was this last measured?*
WPM*
Dictation: Where was this required?*
Data Entry: Where was this required?*
Veterinary Software: Please list*
Other Software Skills: Please list*
Employment
List last employer first, including U.S. Military Service.
Present Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Position*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Full Time/Part Time*
- Full Time
- Part Time
# of Hours per Week*
Salary*
Supervisor*
Department*
Duties*
Still Employed?*
- Yes
- No
Reason for Leaving*
Permission to contact this person and verify employment information*
- Yes
- No
Previous Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Position*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Full Time/Part Time*
- Full Time
- Part Time
# of Hours per Week*
Salary*
Supervisor*
Department*
Duties*
Reason for Leaving*
Permission to contact this person and verify employment information*
- Yes
- No
Add another previous employer?*
- Yes
- No
Previous Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Position*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Full Time/Part Time*
- Full Time
- Part Time
# of Hours per Week*
Salary*
Supervisor*
Department*
Duties*
Reason for Leaving*
Permission to contact this person and verify employment information*
- Yes
- No
Add a third previous employer?*
- Yes
- No
Previous Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Position*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Full Time/Part Time*
- Full Time
- Part Time
# of Hours per Week*
Salary*
Supervisor*
Department*
Duties*
Reason for Leaving*
Permission to contact this person and verify employment information*
- Yes
- No
Add a fourth previous employer?*
- Yes
- No
Previous Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Position*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Full Time/Part Time*
- Full Time
- Part Time
# of Hours per Week*
Salary*
Supervisor*
Department*
Duties*
Reason for Leaving*
Permission to contact this person and verify employment information*
- Yes
- No
Explain any gaps in work history*
Have you ever been discharged or asked to resign from a job?*
- Yes
- No
Please explain*
If offered a position with Shiloh Veterinary Hospital, do you consent to a drug screen and criminal background check?*
- Yes
- No
Professional Referrences
(please provide three)
Name*
First Last
Business*
Person’s Title*
Relationship*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Permission to contact this person and verify employment information*
- Yes
- No
Name*
First Last
Business*
Person’s Title*
Relationship*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Permission to contact this person and verify employment information*
- Yes
- No
Name*
First Last
Business*
Person’s Title*
Relationship*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Permission to contact this person and verify employment information*
- Yes
- No
I hereby attest that I have provided the above information as honestly and accurately as can be reasonably expected. I also understand, that if I am ou001fered employment and any pertinent information is found to be false, that the employee/employer relationship may be severed.
(Sign here)
Date*
MM slash DD slash YYYY
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Comments
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Education

Skills

Employment

Professional Referrences