Form
Section 1 - Applicant Information
Applicant Name
Applicant Phone Number
Applicant E-mail Address
How did you hear about us?
Facebook
TikTok
Indeed
Referral
Website
Current Employee
Other
Do you have reliable transportation?
Yes
No
Do you have a valid driver's license?
Yes
No
Do you have current auto insurance?
Yes
No
Section 2 - Availability & Scheduling
What days are you available to work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you typically available?
Early Morning (6 a.m. - 10 a.m.)
Midday (10 a.m. - 4 p.m.)
Evening (4 p.m. - 9 p.m.)
Overnight
Holidays
Weekends
Are you comfortable driving between multiple client homes throughout the day?
Yes
No
Are you comfortable walking dogs in various weather conditions?
Yes
No
Are you able to lift at least 50 pounds if necessary?
Yes
No
How far are you willing to travel for visits?
Up to 5 miles
Up to 10 miles
Up to 20 miles
20+ miles
Which areas are you willing to service?
How much notice do you typically need before accepting a shift?
Do you currently have any scheduling restrictions or conflicts?
When would you be available to start?
Section 3 - Certifications & Skills
What animal care/handling experience do you have?
Do you currently hold any pet care certifications?
Pet First Aid
Pet CPR
Dog Training Certification
Veterinary Experience
Fear Free Certification
PSI Certification
None at this time
Are you willing to become certified in Pet First Aid and CPR?
Yes
No
Please list any additional certifications, training, or relevant experience.
Section 4 - Background and Safety
Are you willing to consent to a background check if offered a position?
Yes
No
Have you ever been convicted of a crime that would affect your ability to safely care for clients, pets, or enter client homes?
Yes
No
If yes, please explain.
Section 5 - Emergency Contact
Emergency Contact Name
Relationship to You
Emergency Contact Phone Number
Section 6 - Final Questions
Why should we hire you for this position?
What do you believe sets you apart from other applicants?
Is there anything else you would like us to know?
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LIABILITY & PROFESSIONALISM ACKNOWLEDGMENT
Please read and acknowledge the following statement: I understand that pet care work may involve walking strong dogs, exposure to varying weather conditions, entering client homes, handling medications, and responding to emergencies. I certify that I am physically capable of performing these duties safely and professionally.
I Acknowledge
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