Vernon Hills Animal Hospital

1260 South Butterfield
Mundelein, IL 60060


Customer Service Representative Job Application Form

Date (required) :
Name (required)
First Name (required)
Last Name (required)
Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Address (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
Please state the minimum salary you require. (required)

Ideally, how many hours a week would you like to work? What are the minimum and maximum hours you are willing to work? (required)

Please let us know which days of the week you are willing and able to work from 7:50 AM to 1 PM (required)

Please let us know which days of the week you are willing and able to work from 1 PM to 6:30 PM (required)

Please let us know which days of the week you are willing to work until 8:30 PM (required)

Are you willing and able to work every Saturday from 7:45 AM until at least 1:30 PM? (required)

Are there any days or hours you are not available to work? (required)

Are you afraid of dogs, cats, small mammals, or snakes and other reptiles? (required)

Would the sight of blood or a badly hurt animal bother you? (required)

Would a client having to euthanize a pet bother you? (required)

If you have pets, how many and what kind? (required)

Have you ever been a receptionist before? If so, for how long, and what did your job duties include? (required)

Can you type, and if so, how many words per minute? (If you're not sure, please take a typing test online and report the results here) (required)

Do you have computer software skills? What programs do you have experience with? (required)

Do you have any special skills or experience that you feel would benefit you in this job?

Do you have any disabilities that would prevent you from lifting heavy objects, or from being on your feet for extended periods of time? (required)

What is the highest level of education you have completed? (required)

How would you get to work? (required)

What do you see yourself doing one year from now? Five years from now? (required)

Have you ever been convicted of a felony? (required)

If you are in school, are you planning on participating in any sports?

How did you find out about us?

Why do you think you would enjoy working here? (required)

If we interview you, we will require you to sign this form to attest to the accuracy of the above application.

Misrepresentation of past criminal history, previous work experience, education, or falsification of any information requested on this form is grounds for termination.
Please return to the Employment web page at and fill out the Previous Work Experience Form.

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