New Hartford Animal Hospital
3945 Oneida Street
New Hartford, NY 13413
Phone: (315) 737-7387
Fax: (315) 737-0136
Applicant name: *
Date of Application*
Please list three persons, who are not previous supervisors or related to you, who can provide professional references. List name, address, phone number, relationship/occupation, and years known
By signing this application, I declare that the information provided by me is complete, accurate, and true to the best of my knowledge. I understand that any falsification, misrepresentation, or omission on this application (or any other accompanying or required documents) may preclude an offer of employment, or may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the falsification, misrepresentation, or omission is discovered.
I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information, and I also release the employer from all liability that might result from making an investigation.
"If hired, I agree to abide by all of the company rules and regulations. I agree that if hired, I have the right to terminate my employment at any time, with or without cause and with or without notice, and that the company may terminate my employment at any time, with or without cause or notice. I understand that no manager or representative of the company, other than the hospital administrator or designee, has any authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to the foregoing either now, in the past, or in the future. I further understand that such an agreement must be in writing, and signed by the administrator for it to be binding on either myself, or the company. I further understand that this statement supersedes any prior oral or written understanding, and bars any future oral understanding to the contrary.
I acknowledge that I have read and understand the above statements, and hereby grant permission to confirm the information supplied on this application by me.