Your Full Name: E-mail Address (that you check 7 days a week): Street Address: City, State  Zip: Cell Phone: Home Phone: Are you over 21? Yes No Which types of assignments does your schedule allow you to accept?  Please check all below that apply.  To select more than one day of the week in each category, use the control button. I can spend the night overnight in a client's home by myself the following nights. I'm Available 7 Nights a Week Monday Night Tuesday Night Wednesday Night Thursday Night Friday Night Saturday Night Sunday Night I can walk dogs mid-day while clients are working the following days. I'm Available 7 Days a Week Mondays Mid-day Tuesdays Mid-day Wednesdays Mid-day Thursdays Mid-day Fridays Mid-day Saturdays Mid-day Sundays Mid-day I can visit pets several times per day the following days for clients who travel. I'm Available 7 Days a Week Mondays Any Time Tuesdays Any Time Wednesdays Any Time Thursdays Any Time Fridays Any Time Saturdays Any Time Sundays Any Time I can board pets or provide day care in my home seven days per week. I can take dogs out for day trips or be a pet taxi the following days. I'm Available 7 Days Per Week Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays I can work the following holidays. I'm Available Every Holiday New Year's Eve New Year's Day Easter Memorial Day July 4th Labor Day Thanksgiving Day Christmas Eve Christmas Day Please further explain your availability here if necessary: What pets do you currently own (or have you recently owned)? Please describe any experience you've had as a vet tech, dog trainer, pet sitter, pet groomer, shelter volunteer, rescue volunteer, or any related animal-care positions (including casual pet sitting for neighbors, friends, and family). Have you ever hired a professional pet sitter to care for your own pets? Yes No Have you administered insulin shots to a pet within the last two years? Yes No Have you given pills to a pet within the last two years? Yes No Have you administered IV fluids to a pet within the last two years? Yes No Please describe your transportation. Please describe any pets you're unable to care for. How many miles are you willing to travel for assignments? Please explain why you'd like to work with us. Should you be selected for further consideration, will you be able to pass a criminal background and driving check, and may we contact your prior supervisors? Yes No Please describe current and/or previous employment. Are you legally able to work in the U.S? Yes No How much work are you looking for? When would you be able to start? How did you hear about us?