Kit & Kaboodle Pet Care Service
Employment Application
Job Descriptions
Name and Contact Information
Last Name
 		First Name
Middle Name
Birth Date
 Citizenship Status
Street Number
   
City
 State
 Zip
 Home Phone
 		Business Phone
Cell Phone
 
Email Address
How did you hear about us?
 		When can you start working?
           
Are you presently employed? Yes   No Are you currently on a leave of absence or layoff from another company? Yes   No
           
Length of time you can commit to Kit & Kaboodle?
           
How many days of work have you missed in the last 12 months?
Your Information for a Background Check
Can you pass a criminal Background Check? Yes   No
Have you ever been convicted in any court of any offense, including traffic violations? If yes, please give details:
Can you pass a drug test? Yes   No
List your address for the past 7 years from the most recent to the oldest:
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
Street Number
 City
State
 Zip
           
           
Your Ability To Do This Kind Of Work
Do you have access to the internet on a daily basis? Yes   No
Could you lift a 30-50 lb dog if required? Yes   No
Are you able to walk 1-5 miles per day? Yes   No
Are you able to climb 3-5 flights of stairs? Yes   No
Have you ever worked in extreme heat, cold, snow or rain? If yes, please give details:
Are you able to kneel and bend over frequently throughout the day? Yes   No
Do you currently have any chronic illness or past history of one that would prohibit you from being able to perform the essential functions of this job and work during the core hours of service for the job(s) you are applying for? If yes, please give details:
           
Your Availability
You must be able to work within a 5 mile radius on any given day that you are on assignment for us. Which Loudoun County Towns are you able to work in? 
Leesburg Ashburn Sterling Western Loudoun Other
If other please list:
           
Which job are you applying for?
           
For Dog Walking Positions Only:
Can you work Monday through Friday between the core hours of service of 11 am - 2 pm weekly? Yes   No
           
For Pet Sitting Positions Only:
Are you available Sunday through Sunday? Yes   No
If yes, list hours of availability below:?
Sunday
 Monday
 		Tuesday
 		Wednesday
 		Thursday
 		Friday
 		Saturday
Which of the below holiday seasons are you available to work?
 
Memorial Day
 Fourth of July
 Labor Day
 Thanksgiving
 Christmas
 New Year's
           
Your Transportation
Do you have your own transportation? Yes Make & Model of Vehicle
Do you have a valid driver's license? Yes Does you vehicle get good mileage? Yes
Name of auto insurance company  
           
Your Pet Experience
Do you presently have pets? Yes   No
List type and years owned:
Have you had any professional experience working with pets in any capacity including pet sitting/dog walking Yes   No
Please describe job and dates:
Have you preformed pet sitting/dog walking for friends and neighbors? Yes   No
Please describe:
Are you afraid of any of the animals listed below?
Dogs Cats Birds Fish Rabbits Mice/Rats
Gerbils/Hamsters Lizards Frogs
           
Your Education
High School 
   
     
  City:
 State:
    
College
   
Attended - From:
 To:
      
  City:
 State:
    
  Degree obtained
Other
   
Attended - From:
 To:
      
  City:
 State:
    
  Degree obtained
Your Work Experience  (Start with present or most recent employer)
Place of Employment 1
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 2
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 3
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 4
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 5
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 6
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Place of Employment 7
  City
 State
 		 
  Position
 Last Salary
 		 
  From
 To
 		     
  Supervisor
 		Telephone #
 		 
  Reason for Leaving  
  May we contact this employer? 
Yes No		 Can this person be used as a reference? 
Yes No		  
           
Please Read Carefully
I certify that all of the statements made in this application are true and correct to the best of my knowledge and are made in good faith. I give Kit & Kaboodle and its agent the right to investigate all information if necessary. I hereby release from all liability or responsibility all persons, companies, corporations furnishing such information.

I understand that the completion of this application does not assure me of employment and does not obligate me in any way, nor does it obligate Kit & Kaboodle to me in any way.

I understand that this application will be retained for active employment consideration for six months following date of submission. To remain in consideration for employment after that time, it will be necessary that I complete another application.

I understand and agree to the job descriptions and requirements as listed on this web site. I also acknowledge that there is nothing that would prevent me from meeting the essential requirements of these jobs.

I understand that any misleading or incorrect statement or failure to complete any part of this application not prohibited by law may render this application void, and if employed would be cause for immediate discharge.

Kit & Kaboodle Pet Care Service is an equal opportunity employer.