Please fill out this form completely and we will contact you soon. Thank you so much! Pet Super Krewe Services LLC

Full Legal Name * Birth Date *

Street Address * City, State Zip Code * What area of town do you live? * Cell Phone Number * Do you have an Unlimited Data Plan on your Smart Cell Phone? * Email Address * Best Way to Reach You Are you a Military Veteran? * List Credit, Criminal or Driving Offenses with dates and end result. Please type your initials for PSKS authorization to conduct a Criminal Background Check on you. * Do you own a vehicle that is insured and is in good working order? * Please list all physical limitations that you think might hinder your performance for this position. Please tell us about your own pets. * Highest Level of Completed Education with Date * Are you currently employed? * Where are you currently employed? Approximately how many hours do you work at your current job? Please list all previous employment. * May PSKS contact your current and previous employers for references? * Do you care for anyone else's pets currently? * Please list names, relationship to you, phone numbers, pet's types and names. * May PSKS contact them for references? Can you work over every Holiday period? * Please list which holidays you will not be available and why. Can you work days, nights and weekends for PSKS? * Can you work Overnights (8pm-7am in client's homes) for PSKS? * Are you comfortable with Home Alarm Pads? * If you are not comfortable with Home Alarm Pads, please explain. Please list what you think your availability will be with PSKS. * Tell me what your pet would say about you if they could talk. Have fun with this. * How will you provide our clients with superior quality service? * Are there any pets you would not be comfortable caring for? * Please tell us why you want to work with PSKS. Be Specific. * Type initials if ALL information you have provided is true and accurate. * Date completed and initialed. *

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