Powers Pet Emergency & Specialty of Colorado Springs, Inc, is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

PLEASE TYPE OR PRINT. Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered. Please fill out each box (don’t just indicate “See Resume.”)


Application for Employment

EDUCATION


HIGH SCHOOL:

GED:

OTHER SCHOOL:

COLLEGE (1st):

COLLEGE (2nd):

COLLEGE (3rd):

SKILLS


Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert).

WORK EXPERIENCE


Please detail your entire work history as complete as possible. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation “See Resume.” as Resume's can become detached from this application.

PLEASE NOTE: Powers Pet Emergency & Specialty reserves the right to contact all current and former employers for reference information.

PREVIOUS EMPLOYER (most recent):

Example: Aug. 12, 2004-June 1, 2015

PREVIOUS EMPLOYER (2nd):

Example: Aug. 12, 2004-June 1, 2015

Attachments


PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION:

• I certify that the information on this application and its supporting documents is accurate and complete.
• I understand and agree that failure to full complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date.
• I authorize Powers Pet Emergency & Specialty to investigate, without liability, all statements contained in this application and supporting materials.
• I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment.
• If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment.
• I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment.
• I understand that staff employees of Powers Pet Emergency & Specialty serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law.
• If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with all company and departmental regulations.
• I understand that if employed on a temporary or part time basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off.
• If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Powers Pet Emergency & Specialty Retirement System or to an optional retirement program, if applicable.
• I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice.
• I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.