Supplemental Questionnaire

	Human Resources Department

	#19-425040-01
	Supplemental Questionnaire


Last Name	First Name

This Supplemental Questionnaire will be used to determine applicants’ qualifications for this position and assess an applicant’s ability to advance in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely. Omitted information will not be considered or assumed. Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank.

Please note that the experience in your answers must be reflected in your employment history.

Do you have at least one year in a lead or supervisory role?

Yes No

Do you possess a valid Registered Veterinarian Technician's license?

Yes No

Do you possess a valid Euthanasia Certification?

Yes No

I understand that a current Registered Veterinarian Technician's license and Euthanasia Certification are required for this position and I must submit the required documents along with my application.

Yes No