Ocala Equine Hospital, PA

Ocala Equine Hospital, PA
10855 N U.S. Hwy 27
Ocala, FL 34482

Hospital Hours:
Mon-Fri 8:00am-5:00pm, Closed Sat. & Sun.

Application for Employment

Name

First Last

Date

Address

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

Home Phone

Cell Phone

Position applied for

Referred By

Date you can start if hired

Salary desired

Are you currently employed?

Yes

If yes, can we contact them for a reference?

EDUCATION

High School (Name & Location)

Received

Diploma

None

Other

College / Trade School (Name & Location)

Graduated

Years Completed

Subjects Studied

Training and/or experience applicable to position applied for:

DRIVING RECORD:

Some positions require the employee to have a current driver’s license, a clean driving record for insurance purpose and the ability to drive. Are you willing, if hired, to supply driver’s license information to our insurance company?

Yes

EMPLOYMENT HISTORY

Employer

Dates Employed

Address

Phone Number

Position Title

Supervisor's Name

Duties and responsibilities

Reason for leaving

Describe your work experience in detail, beginning with your current or most recent job. Include military service and job related volunteer work, if applicable. Resumes may be attached to provide additional information.

REFERENCES

Name

Address

Business

Years Known

List below the names of three persons not related to you, whom you have known at least one year

BACKGROUND INFORMATION

Have you ever been convicted of a felony or first degree misdemeanor?

Yes

If yes,

What charges?

Date

Where convicted?

Have you ever pled no contest or pled guilty to a crime which is a felony or first degree misdemeanor?

Yes

If yes,

What charges?

Date

Where convicted?

Have you ever had the adjudication of guilt withheld for a crime which is a felony or first degree misdemeanor?

Yes

If yes,

What charges?

Date

Where convicted?

Note: A “YES” answer to these questions will not automatically bar you from employment. The nature, job-relatedness, severity and date of the offense in relation to the position for which you are applying are considered.

CITIZENSHIP Ocala Equine Hospital, PA hires only U.S. citizens and lawfully authorized alien workers. If a conditional offer of employment is made, you will be required to provide identification and proof of citizenship or authorization to work in the U.S.

ARE YOU A U.S. CITIZEN OR ARE YOU LEGALLY AUTHORIZED TO WORK IN THE U.S.?

Yes

CERTIFICATION I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel staff, and other authorized employees of Ocala Equine Hospital, PA for employment purposes. This consent shall continue to be effective during my employment, if I am hired and release the company from all liability for any damage that may result from utilization of such information.

I understand that Ocala Equine Hospital, PA is an “at will” employer, which means that either the employer or the employee may terminate the employment relationship at any time for any or no reason with or without notice.

Ocala Equine Hospital, PA is a smoke-free workplace.
Ocala Equine Hospital, PA is an EQUAL OPPORTUNITY EMPLOYER
Ocala Equine Hospital, PA is a DRUG-FREE WORKPLACE

*All job applicants at this company will undergo screening for the presence of illegal drugs as a condition of employment.

Testimonials

Thank you Dr Lugo and all of your staff for the awesome care given to my gelding. It was a privilege to watch this group of professionals and Drs work together like a well oiled machine during surgery! And all of their watchful Care post op. It's a beautiful facility and everyone from start to
Dee M.

Thank you for letting us tour your facility!! We are so grateful for your knowledge and hospitality.
Jessica P.

Great facility. Wonderful and caring doctors. Was very pleased with all the care given to horse.
Karen G.

Terrific care & great people to work with !!
Robbie S.

Great veterinarians. Happy with their care.
Cowgirl Country