JOB TITLE:   

CONTACT PERSON:   

CLINIC OR FACILITY NAME:   

ADDRESS:

Apt. No/ P.O. Box: 

CITY:   STATE: ZIP CODE: 

PHONE NUMBER:        FAX NUMBER: 

EMAIL ADDRESS: 

WEBSITE:

DUTIES: (CHECK THOSE THAT APPLY)
     Medical Nursing Treatments      Anesthesia
     Surgical Nursing      X-ray
     Lab procedures      Dentistry
     Examining Room Nursing      Emergency / ICU
     Sales/Marketing  
Other technical: 
Non-technical: 
     Reception and Office

PRACTICE DESCRIPTION:
Number of Veterinarians:   
Practice % makeup -
Large Animal:  Species:
Small Animal:   
X-Ray machine :
Lab equipment :
Check Anesthesia(s) used:   Isoflurane    Halothane    Sevoflurane
Number of full time employees:
Receptionists:         Animal caretakers:   
Veterinary Assistants:         Credentialed Veterinary Techicians:   

QUALIFICATIONS DESIRED:
 
Please list qualifications:   

 
SALARY AND FRINGE BENEFITS PAID:
Salary Range (yearly):      $ Salary range (hourly):   $
Overtime @ 1 1/2x:        Yes   No Health insurance:    Yes  No
Dental insurance:        Yes    No Life insurance:        Yes  No
Retirement plan:        Yes   No Vision Insurance:  Yes  No
Vacation:   Days/year   Sick days: Days/year  
Paid Holidays:       Yes     No Continuing Ed.:     Yes  No
Uniforms:        Yes        No Pet care discount:  Yes  No
IVTA dues:        Yes        No NAVTA dues:   Yes  No
VT Journal:        Yes  No State license fees:  Yes  No
Profit Sharing: 
 Yes
  No      

ADDITIONAL COMMENTS:
 

 


If you have any questions or concerns, please contact:

Barb Kirts, CPS, Placement Coordinator
Purdue Veterinary Technology,
G171 Lynn Hall
West Lafayette, IN 47907-1240
(765) 494-7619
Fax: (765) 496-2873
Email: kirtsb@purdue.edu