Name:

Address:

City: State: Zip:

Home phone:

Work phone:

Page / Cell phone:

Email:

In case of emergency, contact: Phone:

Position applying for: Midday Dog Walker Pet Sitter Overnight House/Pet Sitter Pet Camp Counselor All

Are you looking for FT or PT work? Part-time Full-time

How many hours of pet sitting or dog walking would you prefer to do each week?

Are you currently employed? Yes No

If yes, where?

How much income do you need to make each week from pet sitting? (please give an estimate here)

Why are you interested in becoming a pet sitter or dog walker?

Have you ever worked for or used a professional pet sitting service? No Yes

If yes, who?

Describe your personal and professional experience with pets {please list pets of your own and special skills or training that you feel is relevant):

Please briefly describe educational background:

Are you comfortable walking more than one dog at a time? Yes No

Are you comfortable handling large dogs (100+ lbs.)? Yes No

Have you and are you comfortable with giving oral medications to a cat? No Yes A dog? Yes No

Do you have any experience with birds? No Yes

List any pet you would prefer not to care for:

Are you allergic to any animals or is there any type that you don't like? No Yes

If yes, please explain:

Place and X in the checkbox to indicate the days and hours you are available to work:

6am-8am 8am-10am 11am-3pm 4pm-6pm 6pm-10pm 10pm-6am

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Do you have obligations that would prevent you from morning, mid-day, or evening visits to our client's homes? No Yes

If yes, please explain:

Are you available to work on short notice? Yes No

Are you available to house/pet sit overnight in a client?s home? Yes No

If hired, how long of a work commitment can you give to VIP Pet Sitting? Less than 6 months 6-9 months Over 9 months

Please answer the following questions if you are interested in keeping pets in your own home:

Do you have children or pets living in your home? Yes No

Do you have a securely fenced yard? Yes No

Do you own or rent your place of residence? Own Rent

Please place and X by the holidays that you are available to work:

Thanksgiving Christmas Eve Christmas Day New Years Eve New Years Day Spring Break Easter Memorial Day Independence Day Labor Day

Are you eligible to work in the U.S. and at least 18 years of age? Yes No

Pet sitting requires that you self-manage, stick to a schedule and manage your time properly throughout the day. Can you do this? Yes No

Are you detail oriented, making sure things are done right and able to follow instructions carefully? Yes No

Have you ever been convicted in ANY court of any offense, including traffic violations? No Yes

If yes,please explain:

Do you have a reliable, insured car? Yes No

Make and model?

Do you have a valid driver?s license? Yes No

Driver?s license number

State issued Date expires:

Pet sitting and/or dog walking requires you to drive to clients? houses each day, do you mind driving? No Yes

Do you know how to use a Mapsco and/or an Internet mapping program to assist you in getting to these assigned areas? Yes No

Pet sitting and/or dog walking requires you to walk dogs for a minimum of 20 minutes each, health wise can you handle this? Yes No

This job also requires you to be outside during extremely hot temperatures, extremely cold temperatures and rain, are you willing to do this? Yes No

Part of the responsibility of being a pet sitter or a dog walker is cleaning up after the pet you are caring for. Can you deal with the smell of dog poop, cat boxes and vomit? Yes No

Employment history: (please list your most current employment first)

Date of employment: From to

Name of employer:

Supervisor/manager name: Phone:

Duties:

Reasons for leaving:

May we contact? Yes No

Date of employment: From to

Name of employer:

Supervisor/manager name: Phone:

Duties:

Reasons for leaving:

May we contact? Yes No

Please list three personal references, not related to you, whom you have known for at least one year:

Name: Phone: Relationship:

Name: Phone: Relationship:

Name: Phone: Relationship:

If Interested in overnight house/pet sitting, please list two overnight house/pet sitting references:

Name: Phone: Relationship:

Name: Phone: Relationship:

Enter the code shown here:

By submitting this form, you verify that the information provided is accurate and true to the best of your knowledge: