Aunt Penny's Application Name* First Last Contact InformationAddress* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Date Available Date Format: MM slash DD slash YYYY Social Security NumberPosition you are applying for...*Petsitter/ Dog WalkerDog TrainerStudent mentor for Dog TrainingAre you a citizen of the United States?*YesNoAre you authorized to work in the United StatesYesNoHave you ever worked for Aunt Penny’s?*YesNoWhen did you work with Aunt Penny?Have you ever been convicted of a felony?*YesNoPlease explainPlease check all the following that apply I am 21 or older I have a reliable car I have a valid PENNSYLVANIA drivers license I can drive in the snow I can drive in the rain I can drive in the dark I have a cell phone with texting capability I have a cell phone with camera capability I have a home computer I am physically able to handle dogs of all sizes I am NOT allergic to cats I am NOT allergic to dogs I am experienced administering insulin to cats I am experienced administering insulin to dogs I am experienced in giving pills to cats I am experienced in giving pills to dogs EducationWhere did you attend*Type = High School, College, TradeSchool NameTypeToFromDid you graduate?Degree obtained? ReferencesPlease list three professional references*By listing information below you are allowing us permission to contact your references on your behalf.NameCompanyAddressCity, State, ZipPhoneRelationship Previous EmploymentPast Employer*CompanySupervisorAddressCity, State, ZipJob Information*Job TitleStart DateEnd DateStarting SalaryEnding SalaryResponsibilities*Reason for leaving*May we contact your previous supervisor for a reference?*YesNoPrevious EmploymentList other past employement informationPast EmployerCompanySupervisorAddressCity, State, ZipJob InformationJob TitleStart DateEnd DateStarting SalaryEnding SalaryResponsibilitiesReason for leaving*May we contact your previous supervisor for a reference?YesNoPast EmployerCompanySupervisorAddressCity, State, ZipJob InformationJob TitleStart DateEnd DateStarting SalaryEnding SalaryResponsibilitiesReason for leavingMay we contact your previous supervisor for a reference?*YesNoEducationContinuing Education*List any schools you've attended including high school.School NameAddressStart DateEnd DateDid you graduate?Diploma/Degree/Certification Military ServiceMilitary ServiceBranchStart DateEnd DateRank at DischargeType of DischargeIf not honorable, please explain Additional InformationPlease indicate the days you are available*Check all that apply Sunday Monday Tuesday Wednesday Thursday Friday Saturday Please indicate the times you will be availableYou may check as many as applicable 7-10am 10-2pm 2pm-5pm 5-8pm 8pm-10pm 8pm-7am (overnight) NOTE- ALL PETSITTERS MUST BE AVAILABLE TO WORK AT LEAST ONE WEEKEND A MONTH*Please check at least one choice !st weekend of each month 2nd weekend of each month 3rd weekend of each month 4th weekend of each month Availability*Please check all that apply Year Round Summers Only School Year Only Evening & Weekends Weekends Only Is there anything else we should know about your availability?Please check all that you CAN work EVEN if PART of that Holiday New Years Eve New Years Day Valentines Day Easter Memorial Day weekend July 4th Labor Day weekend Thanksgiving Christmas Eve Christmas Day Is there anything else we should know about your holiday availability?Please indicate your animal experienceYou may check as many as applicable dog trainer vet tech current pet sitter other Please elaborateWhy are they applying for this opportunity?*Agreement & CertificationI certify that my answers are true and complete to the best of my knowledge. If this application leads to hire as an independent contractor, I understand that false or misleading information in my application or interview may result in my release.Signature
