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Full Name:

Phone Number:

Cell Number:

Town:

Zip Code:

E-Mail Address:

Are You At Least 18 Years Of Age?

How Did You Hear About Us? Google Craig's List Internet News Papers Flyers Car Signs One Of Our Clients One Of Our Sitters Word Of Mouth Other

May We Conduct A Background Check? Yes No

Most Recent Employer:
Position:
Supervisor:
Phone Number:
Dates Employed:
Reason For Leaving Or Are You Still Employed There?:

Second Most Recent Employer:
Position:
Supervisor:
Phone Number:
Dates Employed:
Reason For Leaving:

Do You Have Any Pet Sitting Or Other Experience With Pets? Yes No
If Yes, Please Describe:

Please Select The Type(s) Of Pet Sitting Assignments You Would Be Interested In Performing
Daily Pet Visits (Dogs, Cats, Other Small Animals
Dog Walking
Dog Running
Cat Sitting
Over Night Sitting At Client's Home
Private Boarding At Your Home
Pet Taxi

Administrative Assistant (please send resume)

Please List Your Days And Times Of Availability

When Are You Available To Start?

Describe How This Position Fits Into Your Short Or Long Term Goals

What Things Should We Know About You That Makes You Well Suited For This Job?

List Below Two People Who Have Knowledge Of Your Work Performance
Name 1:
Phone Number:
Relation:

Name 2:
Phone Number:
Relation:

Use This Space For Any Additional Comments

By 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 terms for my immediate expulsion from the company. I give this company permission to investigate this information and to secure any additional information they may feel is necessary to measure my suitability. I permit the company to examine my references, record of employment, 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.

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