Volunteer Pre-Screening FormPersonal InformationName First Last Email PhonePosition you’re applying toTexting okay? Yes NoHow did you hear about BPAH?General QuestionsCan you submit verification of your legal right to work in the United States? Yes NoAre you 18 years of age or older? Yes NoDo you have a valid driver’s license? Yes NoHave you ever been convicted of any crime against animals or children or any other violent crime in nature? Yes NoCapabilitiesPlease answer each question by checking the appropriate box. Thank you.Quick reflexes and ability to use both hands simultaneously (example: open cage door while handling animal) with levels of manual dexterity to leash/harness animals. Yes NoAbility to walk unaided on uneven, rugged and sometimes slippery exercise areas (when walking dogs outdoors). Yes NoAbility to bend and squat in order to leash/harness and pick up an animal as well as being able to stand for significant periods of time. Yes NoAbility to handle and restrain animals of small to large size (up to 110 lbs) with extreme caution and care (This requires average vision hearing, steadiness of hands and body, quick reflexes, physical strength, and mental alertness). Yes NoHealthy enough to handle dogs, cats, or other companion animals (that can’t be by medication) and to tolerate chemicals used in grooming and cleaning. Yes NoAwareness of potentially dangerous situations when working with animals, must be able to remain calm with animals who are upset; behave sensitively and confidently; show good judgement and act appropriately in these situations. Yes NoSkillsPlease rate your skills in the following areas using 1 as very low to 10 as mastered. Please understand we know not all may apply. Thank you.Customer ServicePlease enter a number from 1 to 10.Overachieving AttitudeVerbal CommunicationWritten CommunicationFriendlyProfessionalAdaptablePatienceProblem SolvingAccuracy and Attention to DetailIntegrityInterpersonal SkillsTelephone SkillsMicrosoft Office ProficiencyListeningProfessionalismCustomer FocusOrganizationOrganizationCalm Under PressureCalm Under PressureDocumentationQuick to Learn New TechnologiesMultitasking CapabilitiesPractice Management SystemsActive ListeningAttentivenessConflict ResolutionCreativityMedical TerminologyDependabilityExotic AnimalsEmpathyPunctualityReliabilityQuick ThinkingReading Physical and Emotional CuesResponsivenessTimelinessKnowledge of Animal BehaviorDependabilityAnimal HusbandryLove of AnimalsMedical Record ChartingAnalyzing InformationClinical SkillsUse of Lab EquipmentRespectful BearingBoca Palms Animal Hospital (BPAH) is an Equal Opportunity Employer and an EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATIONI certify that all statements on this application are true and complete to the best of my knowledge. I understand that this document is not an offer of employment and is only used to pre-screen applicants prior to the interview process.SignatureName First Last Date MM slash DD slash YYYY CAPTCHAΔ
