Overnight Attendant Application

Name *Please include first and last name.

Phone Number *

Email Address *

Date of Birth *Month/Day/Year

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Applicant Profile & Background

Have you ever been charged with or convicted of a crime? *YesNo

If so, please explain. *

Have you ever been convicted of animal abuse, neglect, or cruelty? *YesNo

If so, please explain. *

Do you have any physical conditions that might affect your volunteer work? *YesNo

Comfort and Interest

Do you have any experience working/volunteering with animals? *YesNo

If so, please specify below. *

What is your comfort/skill level with dogs and cats? *ComfortableNeutralUncomfortable

How did you hear about Pitzer's Paws? *

What are your days and hours of availability? *Please include both days and times.

Education

Degree *

Institution *

Year of Completion *

Degree

Institution

Year of Completion

Professional Background

Company Name *

Job Title *

Reason for Leaving *

Job Title

Company Name

Reason for Leaving

References

Pitzer’s Paws requires 2 references to apply for a position. Please provide the names, contact numbers, and relationships of 2 individuals who can testify to your ability as an employee.

1. Reference Name *Please include first and last name.

Contact Number *

Relationship *Reference must be 18 years or older.

2.) Reference Name *Please include first and last name.

Contact Number *

Relationship *Reference must be 18 years or older.

E-Signature *By signing my e-signature, I consent to abide by the policies, guidelines, and liability waiver set forth by Pitzer’s Paws.