The Pet Stop

8100 Brink Road

Gaithersburg, MD20882

(240)328-8278

Dog walker/pet sitter application

Date:

Name:

Address:

Home phone:work phone:

Pager/cell phone:

Email:______

Are you at least 18 years old?______

Are you eligible to work in the u.s.?______

Position applied for:

 midday dog walker (must be available mon-fri, 11am-3pm)  vacation pet sitter  host pet in your home  overnight stay pet sitter  pet taxi

Days/hours available:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Do you have a reliable, insured car?

In which areas would you like to work?

Please describe your experience with pets:

Can you comfortably handle walking two dogs at a time?

Can you comfortably handle a dog up to 100 pounds?

Are you able to give a pill to a pet?

if yes, what type of animal?

Are you able to give an insulin injection?

if yes, what experience do you have?

Is there any type of pet you would prefer not to service?

if so, which ones and why?

Work history

Job 1

Name of employer: ______

Employer’s address: ______

Kind of business: ______

Supervisor’s name & phone number: ______

Your job title: ______

From (month-year): ______

To (month-year): ______

Hours worked per week: ______

Duties: ______

Reason for leaving postion: ______

Job 2

Name of employer: ______

Employer’s address: ______

Kind of business: ______

Supervisor’s name & phone number: ______

Your job title: ______

From (month-year): ______

To (month-year): ______

Hours worked per week: ______

Duties: ______

Reason for leaving postion: ______

Job 3

Name of employer: ______

Employer’s address: ______

Kind of business: ______

Supervisor’s name & phone number: ______

Your job title: ______

From (month-year): ______

To (month-year): ______

Hours worked per week: ______

Duties: ______

Reason for leaving postion: ______

Animal experience

Have you worked with animals? ______

Have you owned a pet? ______

Do you currently have pets? ______

Have you been attacked or fear any animals? ______

Education

Schools/colleges # years year grad degree

______

______
______

Personal references

Please provide 3 references, one may be a relative

Name: ______

Relationship to you: ______

Phone number: ______

How long you’ve know them: ______

Name: ______

Relationship to you: ______

Phone number: ______

How long you’ve know them: ______

Name: ______

Relationship to you: ______

Phone number: ______

How long you’ve know them: ______

Have you ever been charged or convicted with a felony or misdemeanor? ______if yes, please explain: ______

I certify that the above answers are true and complete to the best of knowledge. I authorize ______,

To do a background check on me to determine my qualifications. In the event of employment, i understand that any false or misleading information given on my application may result in immediate termination.

Name: ______date: ______

Signature: ______