The Sitter Society Placement Application

Name *

First Name

Last Name

Position you're applying for: *

Short Term

Seasonal

Long Term

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Can you work nights if needed? *

Yes

No

Are you 18 or older? *

Yes

No

Birth Date *

MM

DD

YYYY

Have you ever been convicted of a felony? *

Yes

No

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. *

Yes

No

Do you have a valid passport? *

Yes

No

Do you have a valid drivers license? *

Yes

No

If so, are you comfortable driving with children in the car? *

Yes

No

Are all of your vaccinations up-to-date? *

Yes

No

Are you allergic to anything? *

Yes

No

Are you comfortable around pets? *

Yes

No

Are you comfortable with infants? *

Yes

No

What is your ideal start date? *

MM

DD

YYYY

What is your ideal end date?

MM

DD

YYYY

Are you a strong swimmer? *

Yes

No

Are you comfortable supervising children in the water? *

Yes

No

Are you comfortable working with a family that has differing political views or religious beliefs from you? *

Yes

No

Do you consent to The Sitter Society running a background check on you? *

This may include your references, character, past employment, education, consumer reports, and criminal history record information kept in state or local files, public or private organizations, and all public records.

Yes

No