WiKi Walks .|. New Customer Information

Personal Information

Name: (Required)

Address:

City:

State:

Zip Code:

Phone:

Cell Phone:

Email Address: (Required)

Are you eligible to work in the US? (Required)
Yes No

Have you ever been convicted of a felony? (Required)
Yes No

If Yes please elaborate:

Do you have any credit, criminal or driving offenses? (Required)
Yes No

If Yes please elaborate:

Can you work on holidays?
Yes No

Can you work weekends (Saturday - Sunday)?
Yes No

Can you work Monday through Friday each and every week?
Yes No

What days of the week can you work? (Please select at least one box)
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Are you available to stay overnight in a pet's home?
Yes No

Can you comfortably handle walking two dogs at a time?
Yes No

Can you comfortably handle a dog up to 100lbs?
Yes No

Are you able to give a pill to a dog or cat?
Yes No

Is there any type of pet you prefer not to care for?

Are you looking for a long-term position?
Yes No

Are you looking for a seasonal/holiday position?
Yes No

Do you have any pet ownership, pet care or pet sitting experience? Describe:

What is your motivation in joining our team at WiKi Walks?

Please list any education or information you feel is relevant:

Employment History (Begin with present or most recent)

Name of Employer:

Name of Supervisor:

Supervisor telephone number:

What was/is your position/duty there?

Dates of employment:

Reason for leaving:

May we call Supervisor for a reference?
Yes No

If no please state why:

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Name of Employer:

Name of Supervisor:

Supervisor telephone number:

What was/is your position/duty there?

Dates of employment:

Reason for leaving:

May we call Supervisor for a reference?
Yes No

If no please state why:

References (Please list three personal references, not related to you, whom you have know for at least one year.)

Name:

Telephone number:

Relationship:

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Name:

Telephone number:

Relationship:

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Name:

Telephone number:

Relationship:

How did you hear about WiKi Walks's Employment Opportunities?

Do you currently have another job/source of income?
Yes No

Do you know anyone who currently works for WiKi Walks?
Yes No

If yes, list name:

Do you know anyone who has worked for WiKi Walks in the past?

Yes No

If yes, list name:

Approximately how many hours do you wish to work each week? (Required)
2 - 4 hours 4 - 8 hours 8 - 12 hours 12 - 16 hours More than 16 hours

What should we know about you that would make you especially suited to be a pet caregiver at WiKi Walks?

What additional information should we consider about you that may influence our decision to hire you?

I verify that the information provided in this Application is accurate and true to the best of my knowledge.
Yes