APPLICANT QUESTIONNAIRE The following questionnaire must be completed in addition to your application. First Name Last Name Email Phone Date ExperienceHave you ever housetrained a puppy? Yes NoWhat methods did you use? Would you be willing to learn? Yes NoCheck if you can give ORAL MEDICATIONS to: Dogs CatsCheck if you can give INJECTIONS to: Dogs CatsWhat, if any, experience do you have with basic or advanced obedience training? How would you correct behavior for a dog that jumps up? How would you correct behavior for a dog that pulls while being leash walked? Describe any experience you may have with caged or “pocket” pets? (hamsters, guinea pigs, ferrets, etc.) Describe any experience you may have with aquarium care:IndoorFresh water fish Salt water fish Reptiles OutdoorPond Care Describe any experience you may have with birds. Do you currently share your life with your own companion animals? Yes NoIf yes, please describe species, age, breed or mix, where you obtained originally and if they are spayed or neutered: What provisions do you make for your pet(s) when you are away? If you have a pet that is not spayed or neutered please describe why. Did you ever have to re-home a pet? Yes NoPlease explain why and where you placed your pet. If you have not, would you consider adoption from a rescue group or animal shelter? Yes NoWhy or why not? Have you ever had first-hand experience with an aggressive, destructive or shy cat or dog? Yes NoPlease describe Have you ever been bitten (or severely scratched) by an animal? Yes NoPlease describe the circumstances Do you feel this could have been avoided? Yes NoIf yes, how? Are you comfortable with all species, breeds, sizes and personalities of pets or are there some you’d rather not be responsible for? Yes NoWhy or why not? Would you consider receiving additional training to become a pet sitter with The Pet Company? Yes NoCommunicationSome of our clients will, from time to time, be at home, have a houseguest or other service person at the home while we are on assignment. (We require our clients to notify us when this is the case, providing names and contact information for others who will have access to the home.) Would you be comfortable entering the home and going about your duties under these circumstances? Yes NoAre you available for last minute assignment requests – sometimes with less than 48 hours notice – except when you have given prior notice to the office of your unavailable dates? Yes NoAre you available for periodic employee meetings and training sessions, (generally scheduled with at least a three week notice)? Yes NoAre you available to assist with occasional promotional opportunities, such as manning a booth at an adoption event or consumer fair (re: Indianapolis Home Show type of events)? Yes NoAre you available for routine pet transport assignments or pet food and supplies pick up and delivery assignments? Yes NoAre you available to provide backup for other sitters on staff, possibly outside of your primary coverage area, in case of emergencies? Yes NoScheduling ConsiderationsDo you have internet or email access? Yes NoWhat is your email address? Do you have a smart phone? Yes NoWhat is your cell phone number? Is there any reason you might not be able to be reached for lengthy periods of time on a regular basis by either home phone, cell phone or email (i.e. other employment, etc.) Would you be able to consistently contact clients within a 24 hour period of their booking services to confirm any updates for care prior to their departure? Yes NoWould you be able to maintain regular and timely communication with The Pet Company management staff and office? Yes NoSubmit Form