Official SealHillsborough County Government

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 High School Diploma or G.E.D.?

Yes No

How many years of experience do you have working in a shelter environment or under the supervision of a Veterinarian as a veterinary technician, including assisting in surgery, medical treatments, and diagnostic procedures?

Five (5) or more years
Three (3) to Four (4) years
One (1) to Two (2) years
Less than one year
No experience

Do you have an A.S. degree in veterinary technology from an AVMA accredited college, or are you a certified Veterinary Technician in the state of Florida?

Yes No

Are you a Certified Veterinary Technician in any other State besides Florida?

Yes No

If you were offered the position, do you understand and confirm that you must pass the examination for a Euthanasia Technician within the first six months of employment?

Yes No

Are you willing to perform humane euthanasia if deemed necessary by a veterinarian?

Yes No

Are you willing to work weekends and holidays as needed?

Yes No

Please explain in detail how your education and experience is relevant to this posting.



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 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 driving 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.