Employment Application - Pet Care With Love

Applicant Information

Name *

Social Security # (required if hired)

Address *

City *

State *

Home Phone

Cell Phone *

Email address *

Are you 21 years or older? *

Yes

No

Are you authorized to work in the U.S.? *

Yes

No

Have you been convicted of a Felony or Misdemeanor? *

Yes

No

What hours are you available?

Are you available weekends?

Yes

No

Are you available holidays?

Yes

No

Are available to make rounds within a 5-7 mile radius of your home?

Yes

No

Are there any areas in which you would like to pet sit?

Yes

No Preference

If yes, specify areas:

Date available for work

Do you presently have any pets of your own?

Type/Years owned

Describe any past work experience with pets

Are there any pets for which you would refuse to care?

In your own words, why would you like to be a pet sitter?

Transportation & Licensing

Do you have reliable transportation?

Yes

No

Make/Year of Vehicle

Do you have a valid driver license?

State and License #

Name of automobile insurance provider

Policy #

References

Are you honest, reliable and trustworthy? *

Yes

No

Please provide four (4) references (not relatives) that we may contact who have known you for several years and can attest to your good character. Please provide an accurate and complete mailing address for each.

Reference 1

Name

Address

City/State/Zip

Phone

Occupation

Years Known

Reference 2

Name

Address

City/State/Zip

Phone

Occupation

Years Known

Reference 3

Name

Address

City/State/Zip

Phone

Occupation

Years Known

Reference 4

Name

Address

City/State/Zip

Phone

Occupation

Years Known

Education

High School

Diploma/Major Subject

Business School

Diploma/Major Subject

Trade School/Technical College

Diploma/Major Subject

College/University

Diploma/Major Subject

Page II
PET CARE WITH LOVE ESSENTIAL FUNCTIONS

Check all that apply

Able to write detailed note for client's diaries

Legible handwriting

Good Knowledge of pets in general

Competent to exercise properly/walk dogs

True pet lover

Willing to clean up feces, urine, vomit when necessary

Dependable, trustworthy individual

Willing to take out client garbage, water plants

Comfortable meeting with the public

Able to lift dogs weighing up to 50 lbs. if necessary

Detail oriented

Able to lift dogs or other animals which may include bending, reaching above head.

Practices confidentiality

Not allergic to pet hair, bird feathers, etc.

Will remain alert and aware in client's home

Able to understand and operate alarm systems

Responsible driving to client homes day/night

May work split shifts (morning, afternoon, evenings)

Can you do these essential functions?

Yes

No

Please explain any you are unable to do:

WORK EXPERIENCE:

List below last four employers starting with last one first.

Employer 1 (Most Recent)

Employed From-To

Company

Address

Position

Wage/Salary

Reason for leaving

Supervisor

Phone

Employer 2

Employed From-To

Company

Address

Position

Wage/Salary

Reason for leaving

Supervisor

Phone

Employer 3

Employed From-To

Company

Address

Position

Wage/Salary

Reason for leaving

Supervisor

Phone

Employer 4

Employed From-To

Company

Address

Position

Wage/Salary

Reason for leaving

Supervisor

Phone

APPLICATION CERTIFICATION

I certify that all of the statements made in this application are true and correct to the best of my knowledge and belief and are made in good faith. I give you and your agents the right to investigate all information given and to secure additional information, if necessary including a criminal background check. I hereby release from all liability or responsibility all persons, companies, corporations furnishing such information.

All Pet Care With Love Clients belong to Pet Care With Love. You are to use Pet Care With Love Material only for Pet Care With Love Clients, not for personal use.

Your Full Name (Signature) * Choose Signature Font *

Signature Preview:

Type your name and select a font to see preview

Type your name and choose a font style

Date *

Pet Care With Love

Application Submitted Successfully!

What happens next?

Applicant Information

Transportation & Licensing

References

Reference 1

Reference 2

Reference 3

Reference 4

Education

Page II
PET CARE WITH LOVE ESSENTIAL FUNCTIONS

WORK EXPERIENCE:

Employer 1 (Most Recent)

Employer 2

Employer 3

Employer 4

APPLICATION CERTIFICATION

Pet Care With Love

Application Submitted Successfully!

What happens next?

Applicant Information

Transportation & Licensing

References

Reference 1

Reference 2

Reference 3

Reference 4

Education

Page IIPET CARE WITH LOVE ESSENTIAL FUNCTIONS

WORK EXPERIENCE:

Employer 1 (Most Recent)

Employer 2

Employer 3

Employer 4

APPLICATION CERTIFICATION

Page II
PET CARE WITH LOVE ESSENTIAL FUNCTIONS