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: ______