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					EMPLOYMENT/CONTRACTOR APPLICATION

Date:___/___/___

Name: _______________________________ DL#: _______________
Date of Birth:_________________________            SS#: ________________
Address: _____________________________ City: _______________
State: ____ Zip: ________
Home Phone: (_____)_____-_______
Work(_____)_____-________
Cell(_____)_____-________
Car Make/Model: ______________________________________
Plate #: ___________________
Areas in Montgomery County, MD you are able to service for Mid Day Dog Walks
and/or Pet Sits and/or Overnight House Sits
____________________________________________

List 3 personal references whom you have known for 3 years (not related to
you):
#1 Name: ______________________ Address:
______________________________________
Phone: (______)______-________ Relationship: ____________________
Years Known: ____
#2 Name: ______________________ Address:
______________________________________
Phone: (______)______-________ Relationship: ____________________
Years Known: ____
#3 Name: ______________________ Address:
______________________________________
Phone: (______)______-________ Relationship: ____________________
Years Known: ____

Present and past employment (beginning with most recent job):
#1 Company: __________________________ Job Title:
_______________________________
 Address: ___________________________ Dates of Employment:
______________________
 Supervisor: ____________________________________ Phone:
(______)______-________
 Reason for Leaving:
__________________________________________________________

#2 Company: __________________________ Job Title:
_______________________________
Address: ___________________________ Dates of Employment:
______________________
 Supervisor: ____________________________________ Phone:
(______)______-________
 Reason for Leaving:
__________________________________________________________

#3 Company: __________________________ Job Title:
_______________________________
 Address: ___________________________ Dates of Employment:
______________________
 Supervisor: ____________________________________ Phone:
(______)______-________
 Reason for Leaving:
__________________________________________________________

EDUCATION:
High School: ____________________ Address or City/State
______________________________________
Years Attended: ________________________________
Did You Graduate?    No    Yes
College: ________________________ Address or City/State:
______________________________________
Other: _________________________ Address or City/State:
______________________________________
Years Attended: ____________

Please answer the following:

1. Are you able to stay overnight in a clients home?        No    Yes

2. Are you afraid or allergic to any animals? No Yes
If yes, explain:
_____________________________________________________________
_____________________________________________________________
___________________________________________________________

3. Please mark when you are available to care for pets...

Before school/work? No  Yes, available times:
___________________________________
After school/work? No  Yes, available times:
___________________________________

Would you prefer to do:

Mid Day Walks/Visits times are between 10am and 3pm              No   Yes
Evening Walks/Visits times are berween 6pm and 11pm              No   Yes
Early Am Walks/Visits times are between 5am and 9 am             No   Yes

4. Are there any days you cannot work?
________________________________________________
5. What kind of experience do you have working with animals?
________________________________ _________________________
_____________________________________________________________
__________________________________________________ ________
_____________________________________________________________
____________ ________________________________________

6. Have you ever owned animals? No    Yes
If yes, what kind?__________________________
How many years? _____________

7. Have you ever been arrested? No
If Yes, what for? _____________________

8. Do you have any tickets on your driving record?     No     Yes

9. Do you have reliable transportation?    No        Yes

10. Have you ever worked for another pet sitting service? No Yes
If yes, what was the name: _______________________________
How Long: ________________________

11. Have you ever done any pet/house sitting on your own? No Yes
If yes, explain:
_____________________________________________________________
__

12. Why are you applying for this position?
______________________________________________
_____________________________________________________________
____________
_____________________________________________________________
____________

13. Have you applied with our company before?        No     Yes

NON COMPETE CLAUSE: BY SIGNING AND INITIALING, YOU AGREE YOU WILL
NOT USE WALKS N LOVE, INC. OR ANY OF ITS MARKETING MATERIALS TO GAIN
YOUR OWN PERSONAL CLIENTS AND YOU ALSO AGREE THAT AT NO TIME
DURING YOUR COLLABORATION AND/OR EMPLOY WITH WALKS N LOVE AND
ONCE YOU STOP WORKING WITH WALKS N LOVE, YOU ARE NOT ALLOWED TO
INITIATE CONTACT WITH ANY CURRENT OR FORMER WALKS N LOVE CLIENT
REGARDING PRIVATE PET SITTING SERVICES. INITIAL___________

I hereby state that the above information is, to the best of my knowledge, true and
accurate. I understand that WALKS N LOVE will be processing a background check
prior to start of contracting and/or employment and I agree to allow them to check my
background.

Signature_____________________________ Date: ___/___/___

				
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posted:1/16/2013
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