Employment Application Form Download as PDF Employment Application FormNameSocial Security No.AddressAddressCityStateHome PhoneCell PhoneEmail addressAre you 21 years or older? Yes NoAre you authorized to work in the US? Yes NoHave you been convicted of a Felony or Misdemeanor? Yes NoWhat hours are you available?Are you available weekends? Yes NoAre you available holidays? Yes NoAre available to make rounds within a 5-10 mile radius of your home? Yes NoAre there any areas in which you would like to pet sit? Yes NoDate available for workDo you presently have any pets of your own? Yes NoDescribe any past work experience with petsAre there any pets for which you would refuse to care? Yes NoIn your own words, why would you like to be a pet sitter?Do you have reliable transportation? Yes NoOwn Computer and are you online? Yes NoOwn Printer? Yes NoOwn Cell Phone? Yes NoDo you have a valid driver license? Yes NoAre you honest, reliable and trustworthy? Yes NoPlease 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 andcomplete mailing address for each. References Name Address City/State/Zip Phone Occupation Years Education Diploma/Major Subject High SchoolBusiness SchoolTrade School/Technical CollegeCollege/UniversityPETSITTER ESSENTIAL FUNCTIONS Check all that apply Able to write detailed note for client’s diaries Good Knowledge of pets in general True pet lover Dependable, trustworthy individual Comfortable meeting with the public Detail oriented Practices confidentiality Will remain alert and aware in client’s home Responsible driving to client homes day/night May work split shifts (morning, afternoon, evenings) Legible handwriting Competent to exercise properly/walk dogs Willing to clean up feces, urine, vomit when necessary Willing to take out client garbage, water plants Able to lift dogs weighing up to 50 lbs. if necessary Able to lift dogs or other animals which may include bending, reaching above head. Not allergic to pet hair, bird feathers, etc Able to understand and operate alarm systemsCan you do these essential functions? Yes NoWork Experience List below last four employers starting with last one first Employers 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. You will be considered an Independent Contractor and be responsible for your own taxes. All Pet Nanny Clients belong to Pet Nanny. You are to use Pet Nanny Material only for Pet Nanny Clients, not for personal use. Pet Nanny clients are not for your personal use (in any form) and will be subject to legal action and a finder’s fee of $5,000 for each client. Client will be subject to legal action as well.Name as Signature DateSubmit
