WAGGING TAILS PET SITTING SERVICES

EMPLOYMENT APPLICATION
280 Washington Street
Berkeley Heights, NJ 07922
TEL: 908 790 1077
CELL: 201 888 6441
FAX: 908 790 1076
Debbie@PetSitNJ.Com

Wagging Tails pet sitting is an equal opportunity employer. This application will not be used or limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accomodation in the application and/or interview process should notify a representative of the organization.

Please Complete This Application And Send It To Us Either By Fax, E-Mail, Or Snail Mail.


Full Name _______________________________________________________________________________________

Phone Number _______________________________________________________________________________________

Cell Phone Number _______________________________________________________________________________________

Address _________________________________________________________________________________________

Email Address _______________________________________________________________________________________

Date of Birth _________________________________________________________________________________

How did you hear about us? ____________________________________________________________________

Do you have a valid New Jersey driver's license? - YES / NO

Do you have a dependable car and car insurance? - YES / NO

Do you have any criminal or driving offenses? - YES / NO

If Yes, Please Explain ____________________________________________________________________________________________________

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May we conduct a background check? - YES / NO

Please list your highest level of education ________________________________________________________________________________________


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Most Recent Employer ____________________________________________________________

Phone ____________________________________________________________

Supervisors Name ____________________________________________________________

Duties/Position

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Dates Employed____________________________________________________________

Reason for Leaving

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May we contact this employer for a reference? - YES / NO

Second Most Recent Employer ____________________________________________________________

Phone ____________________________________________________________

Supervisors Name ____________________________________________________________

Duties/Position ____________________________________________________________________________________________________

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Dates Employed____________________________________________________________

Reason for Leaving ____________________________________________________________________________________________________

May we contact this employer for a reference? - YES / NO

Do you have any pet sitting or other experience with pets? - YES / NO

If Yes, Please Describe ________________________________________________________________________________________


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Please Select The Type Of Pet Sitting Assignments You Would Prefer.

______ Private Dog Walks

______ Group Dog Exercise at Parks

______ Daily Pet Visits (Dogs, Cats and Other Small Animals)

______ Day Care

______ Overnight Sitting in Client's Home

______ Private Boarding at Your Home

______ Pet Taxi

Are you able to perform the essential functions of these jobs either with/without reasonable accomodation? - YES / NO

If No, Describe the functions that cannot be performed ________________________________________________________________________________________


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Please list your times and days of availability ________________________________________________________________________________________


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How many hours do you wish to work each week? __________________________________________________

When are you available to start? __________________________________________________

Describe how this position fits into your short or long-term goals ________________________________________________________________________________________


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What things should we know about you that makes you well suited for this job? ____________________________________________________________________________________________

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List below three persons who have knowledge of your work performance within the last four years

Name ________________________________________________________________________________________

Phone Number ________________________________________________________________________________________

Years Aquainted With________________________________________________________________________________________

Name ________________________________________________________________________________________

Phone Number ________________________________________________________________________________________

Years Aquainted With ________________________________________________________________________________________

Name ________________________________________________________________________________________

Phone Number ________________________________________________________________________________________

Years Aquainted With ________________________________________________________________________________________

By signing or typing my name, I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company. I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company. I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

Please Sign Here or Type Your Name _________________________________________________