Name: Sykesville Veterinary Clinic
Address: 20 Liberty Road, Sykesville, MD, 21784, USA

Sykesville Veterinary Clinic 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.
Complete the entire application. Please submit a cover letter and resume to sykesvillevetclinic@gmail.com with your application, or your application will be deemed incomplete and may not be considered. Please fill out each box (don’t just indicate “See Resume”). Applications with missing or invalid job numbers will not be considered for any position.
Position Applying For*
First, Middle, Last Name*
First Last
Other names under which you have attended school or been employed:*
Street Address*
Street Address Address Line 2 City State ZIP Code
Pimary Phone*
Secondary Phone
Are you eligible to work in the United States?*
- Yes
- No
Are you 18 years of age or older?*
- Yes
- No
What is your current age?*
Are you currently employed (company)?*
- Yes
- No
What is your current job title & department?*
Have you ever been employed by (company)?*
- Yes
- No
Dates of employment & reason for leaving?*
Are you related to any current employee?*
- Yes
- No
Their name & their relationship to you?*
If required for the position, do you have a valid driver’s license?*
- Yes
- No
How did you learn about this employment opportunity at Sykesville Veterinary Clinic? Check all that apply*
- Job Bulletin/Walk-in
- Online Posting (Indeed/Google Jobs/Glassdoor)
- Website
- Dept. of Labor
- Referral by employee
- Other
Education
Name of High School*
City, State*
Did you graduate?*
- Yes
- No
# of years left to graduate*
date of graduation*
Degree received*
Major*
Name of GED
City, State
Did you graduate?
- Yes
- No
# of years left to graduate*
date of graduation*
Degree received
Major
Name of Other School
City, State
Did you graduate?
- Yes
- No
# of years left to graduate*
date of graduation*
Degree received
Major
Name of College
City, State
Did you graduate?
- Yes
- No
# of years left to graduate*
date of graduation*
Degree received
Major
Add a college?*
- Yes
- No
Name of College*
City, State*
Did you graduate?*
- Yes
- No
# of years left to graduate*
date of graduation*
date of graduation*
Degree received*
Major*
Add a another college?*
- Yes
- No
Name of College*
City, State*
Did you graduate?*
- Yes
- No
# of years left to graduate*
Degree received*
Major*
Other credentials/licenses/professional affiliations, etc. which are relevant to the job(s) for which you are applying.
Employment History
SKILLS: Please let 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, immediate, expert).
WORK EXPERIENCE: Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. 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”. PLEASE NOTE:
Sykesville Veterinary Clinic reserves the right to contact all current and former employers for reference information.
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add another employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add a third employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add a fourth employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add a fifth employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add a sixth employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Add a seventh employer?*
- Yes
- No
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Type of employment*
- Full Time
- Part Time
How many hours per week?*
Title*
Starting Salary*
Final Salary*
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor’s Name, Title and Phone #:*
Other Reference Name, Title and Phone #:*
Contact my current reference:*
- At any time
- Only if I’m a finalist candidate
Primary duties:*
Reason for leaving*
Date*
MM slash DD slash YYYY
Applicant Signature*
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Education

Employment History