RSVP New Hire Form
Thank you for your interest in RSVP. If you are interested in joining our team please fill out this form. Please let us know if you have any questions! You will need to upload a copy/picture of your ID and social security card at the end of this form.
Position & Availability
It is required that both of your references are either a doctor, manager and/or co-worker that you have worked with in the past or work with currently in the veterinary field. Please let both of your references know that we will be following up with them. *personal phone number and email address REQUIRED*
Reference # 1
Must include personal number and email.
Reference # 2
Please rate your skill level on the following:
Upload a copy of your ID and SSN
(Upload of take a photo)
Agreement and Consent
I hereby authorize RSVP & ACT, Inc. to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying or currently hold. I understand that RSVP & ACT, Inc. will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in case of pre-employment, no investigation will be done, and my application for employment will not be processed further, and in the case of current employment, disciplinary action may result.
I hereby agree, upon a request made under the drug/alcohol testing policy of RSVP & ACT (the Company), Inc., to submit to a drug or
alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis. I understand and agree that if I at any time refuse
to submit to a drug or alcohol test under company policy, or if I otherwise fail to cooperate with the testing procedures, I will be
subject to immediate termination. I further authorize and give full permission to have the Company and/or its company physician
send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under
the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company
and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally,
I authorize the
Company to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or
investigation connected with the test.
I understand that only duly-authorized Company officers, employees, and agents will have access to information furnished or
obtained in connection with the test; that they will maintain and protect the confidentiality of such information to the greatest extent
possible; and that they will share such information only to the extent necessary to make employment decisions and to respond to
inquiries or notices from government entities. I will hold harmless the Company, its company physician, and any testing laboratory
the Company might use, meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result
from such testing, including loss of employment or any other kind of adverse job action that might arise as a result of the drug or
alcohol test, even if a Company or laboratory representative makes an error in the administration or analysis of the test or the
reporting of the results. I will further hold harmless the Company, its company physician, and any testing laboratory the Company
might use for any alleged harm to me that might result from the release or use of information or documentation relating to the drug
or alcohol test, as long as the release or use of the information is within the scope of this policy and the procedures as explained in
the paragraph above.
This policy and authorization have been explained to me in a language I understand, and I have been told that if I have any questions
about the test or the policy, they will be answered.
I UNDERSTAND THAT THE COMPANY WILL REQUIRE A DRUG SCREEN AND/OR ALCOHOL TEST UNDER THIS POLICY WHENEVER I
AM INVOLVED IN AN ON-THE-JOB ACCIDENT OR INJURY UNDER CIRCUMSTANCES THAT SUGGEST POSSIBLE INVOLVEMENT OR
INFLUENCE OF DRUGS OR ALCOHOL IN THE ACCIDENT OR INJURY EVENT, AND I AGREE TO SUBMIT TO ANY SUCH TEST.