First Name:

Last Name:

Street Address and City:

Home Phone:

Mobile Phone:

Email:


Are you looking for a long-term position?

Are you available to work Monday through Friday, each week?

Are you available to work weekends (Sat-Sun)?

Can you work holidays, including Thanksgiving, Christmas, & New Year's?

Are you over 21 years of age?

Do you have any credit, criminal or driving offenses?

If yes, please explain:


If considered for employment, may we conduct a background investigation on you?

What types of pets do you have?

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 cat? (Yes/No/Willing To Learn)

Are you able to give an insulin injection? (Yes/No/Willing To Learn)

Is there any pet you would prefer not to care for?

Is there anything else you can tell us about yourself that may influence our decision to hire you?