EmailMe Form - Laura the Pet Nanny Job Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

### - ### - ####

Date of Birth

MM / DD / YYYY

Can you work holidays? *

Yes

No

If no, please explain.

Please provide name & location of company.

Can you do mid-day walks between the hours of 11am and 3pm Monday - Friday? *

Yes

No

Are you available to work at least two weekends a month? *

Yes

No

Are you available to do long-term pet sitting assignments? (i.e.. a week long w/multiple visits/day? *

Yes

No

Are you available to house sit overnight in a clients home?

Yes

No

Are you willing to commit to six months of time working for Laura the Pet Nanny? *

Yes

No

If not, please explain

Please provide name & location of company.

Do you own an insured vehicle? *

Yes

No

Do you have experience providing oral medication to cats? *

Yes

No

Do you have experience providing oral medication to dogs? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

Do you have any experience working with pets? *

Yes

No

Please explain *

Please provide name & location of company.

Please list any special skills or training that you feel is relevant? *

Please provide name & location of company.

What pets do you own? *

When are you available to start? *

MM / DD / YYYY

What is your availability (be as specific as possible)? *

Please explaine if any.

Please let us know what services you have done in the past or are interested in doing with Laura the Pet Nanny.

Select all that apply.

Do you have daily access to the internet and the ability to communicate effectively by returning phone calls and emails promptly? *

Yes

No

Have you read through the Laura the Pet Nanny Inc website? *

Yes

No

Do you understand the services we provide? *

Yes

No

Why would you be an asset to Laura the Pet Nanny Inc? *

Please explaine if any.

How did you find us?

Please explaine if any.

If referred by someone, who may we thank for the referral?

Please explaine if any.