PERSONAL INFORMATION

Full Name

Complete Address

E-mail

Phone

Are You 18 years or older?
---YesNo

Are You Authorized To Work In the U.S.?
---YesNo

AVAILABILITY & EXPERIENCE

Have you ever applied to this company before?
---YesNo

What hours are you available?

Are you available weekends?
---YesNo

Are you available holidays?
---YesNo

Are you available to make rounds within 10 mile radius of your home?
---YesNo

Any other areas you would like to petsit?
---YesNoMaybe

Date available to work?

Do you presently have any pets of your own?
---YesNo

Type and Years Owned:

Describe any past work experience with pets:

Are there any pets for which you would refuse care?
---YesNo

Why would you like to be a pet sitter?

VEHICLE

Do you have reliable transportation?
---Yes No

Make and Year

Do you have a valid driver's license?
---YesNo

Do you have valid insurance?
---YesNo

REFERENCES
Please provide two (2) references (not relatives) that we may contact who have known you for several years and can attest to your good character. Please provide accurate and complete contact information.

Reference 1

Name:

Address:

Phone:

Occupaton:

Years Known:

Reference 2

Name:

Address:

Phone:

Occupaton:

Years Known:

EDUCATION
Please provide the name of school and diploma earned.

High School:

Business School:

Trade School/Technical College:

College/University: