Official SealHillsborough County Government


#1904-VETRNYUNM4-001
Supplemental Questionnaire

Last Name
First Name

 

Supplemental Questionnaire


INSTRUCTIONS: Completion of this supplemental questionnaire is REQUIRED. Please read each question carefully and provide clear and complete responses that accurately portray your education and relevant work experience. Your qualifications for employment will be evaluated based upon the information you provide in your responses below and then verified by our staff who will review your entire application for completeness and determine qualification status.

The employers and dates of employment that you list on this supplemental questionnaire MUST match the employers and dates of employment provided in the work experience section of your employment application. Failure to provide matching employer, and dates of employment may result in your application being "not qualified" for this recruitment.

IMPORTANT NOTE: "See Resume" is not an acceptable response to any of the open-ended questions on this questionnaire and will result in your application being "not qualified" for this recruitment.



 

Do you possess a Doctor of Veterinary Medicine degree from an AVMA accredited university?

Yes No
 

Do you possess a valid license to practice Veterinary Medicine in the state of Florida?

Yes No
 

Are you willing to work one or two Saturdays per month?

Yes No
 

Are you willing to be on-call at night and on the weekends, one week out of every three weeks, to give advice and instruction to animal safety and enforcement officers, veterinary technicians, and emergency veterinarians?

Yes No
 

Do you have at least two years of practicing as a veterinarian, or a certificate in shelter medicine or extensive course work/continuing education in shelter medicine?

Yes No
 

What is your salary requirement?

 

 By checking the box above, I certify that all of my responses are true and complete, and any misstatement of material facts OR failure to completely answer questions or provide my employer with a copy of my college diploma/official college transcripts, and/or any licenses, certifications, or other documents listed on the job announcement will subject me to disqualification from the application process and/or dismissal from employment. 

I also authorize investigation of all statements contained in my application, to include a formal background check that may require education and employment verification; criminal history; and motor vehicle report as may be necessary in arriving at an employment decision. Further, I acknowledge understanding that an offer of employment will be subject to successfully passing a drug screen and physical. 

I also understand that once I submit my application for this recruitment, I cannot edit it later.