Personal Information
Please complete the following information about yourself:
First Name:
Last Name:
Street Address:
City:
Zip Code:
Home Phone:
Cell Phone:
Email Address:
How long have you lived in this area?:
Choose One
0-6mo
1 year
2 years
3 years
4 years
5+ years
Do you have any plans to move within the next 2 years?
Choose One
Yes
No
Maybe
Not Sure
Are you 21 years of age or older?:
Choose One
Yes
No
Date of Birth (Optional):
Employment History
Please answer the following questions regarding your current and past employment:
Can you legally work in the U.S. or have a legal work permit?:
Choose One
Yes
No, here illegally
What is your current employment status?:
Choose One
Full-Time
Part-Time
Not Employed
Please describe your current employment:
Please describe your past employment for the last five(5) years:
Pet Care Experience & Credentials
Please answer the following questions regarding your previous pet care experience and credentials, if any:
Please describe your previous work experience in pet care.
Please describe any specialized pet related credentials you may have (i.e. certified dog trainer, certificates, etc):
Please tell us about your own pets!:
Are you Pet First Aid certified?:
Choose One
Yes
No
Currently Enrolled
Willing To Enroll
Pet Care Knowledge & Education
Please rate your knowledge of care and behavior of the following pets/animals (10=most):
Dogs:
Choose One
1
2
3
4
5
6
7
8
9
10
Cats:
Choose One
1
2
3
4
5
6
7
8
9
10
Birds:
Choose One
1
2
3
4
5
6
7
8
9
10
Reptiles:
Choose One
1
2
3
4
5
6
7
8
9
10
Small Pets (i.e. hamsters):
Choose One
1
2
3
4
5
6
7
8
9
10
Horses:
Choose One
1
2
3
4
5
6
7
8
9
10
Other/Farm Animals:
Choose One
1
2
3
4
5
6
7
8
9
10
For the above, what was your education source?:
Would you be willing to take our pet care quiz to assess your knowledge in basic pet care and behavior and a basic English/Math quiz?:
Choose One
Yes
No
Do you believe you would score a 70% or better?
Choose One
Yes
Not sure
Availability
Please tell us your current availability to provide pet sitting services:
What is your current availability for pet sitting and for how long?:
How far/what areas/cities would you be willing to travel to for pet care assignments?:
Can you work on holidays?
Choose One
Yes
No
Sometimes
I am available for and interested in providing: (Check all that apply.)
AM Visits
AFT Visits
PM Visits
Dog Walking
Overnights
Cage-Free Boarding
For boarding, please describe:
Pet Taxi :
24hr Pet Sitting :
Other
Vehicle & Driving Record
Please provide information about your vehicle and driving record.
Please describe your vehicle:
Do you have proof of insurance?:
Choose One
Yes
No
How would you rate your DMV record?:
Choose One
Excellent
Good
Average
I shouldn't drive
Background Check
As part of our screening process, we do conduct thorough background checks on all pet sitters.
How would you rate your background check?:
Choose One
Clear
Some items
I'm still in jail
References
Please list at least three(3) professional references whom we may contact below.
Include name, title, phone number, email address, how long you've worked with this person, and any other information you would like to include:
References:
Summary & Additional Comments
In your own words, why do you want to be a pet care provider?
Summary:
Any other comments you would like to add?
