If you are interested in pet sitting and becoming an Independent Contractor, please fill out our preliminary qualification form and submit it to us. If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Name * Address 1 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Email * Message * Phone Phone Do You Have a Reliable Vehicle? Yes No Do You Carry Auto Insurance? Yes No Do You Have Personal Liability Insurance? Yes No Do You Have Business Liability Insurance? Yes No Are You Bondable? Yes No Do You Have a Home Computer? Yes No Are You Over 25 Years Old? Yes No How Many Hours Per Week Do You Want? Can You Work Weekends? Yes No Can You Do Overnight Pet Sits Yes No Are There Any Holidays That You Cannot Pet Sit? Yes No If Yes, Please Name Them. Do You Have Any Vet Tech Experience? Yes No Have You Administered Oral Meds to Dogs? Yes No Have You Administered Oral Meds to Cats? Yes No Have You Given Pets Injections and/or SubQ Fluids? Yes No Describe Your Experience with Pets, including Your Own Pets Have You Worked For Any Other Pet Care Services? Yes No If Yes, Please List Them Why Do You Want to Be An Independent Contractor for Pampered Pet Care and Sitting? When Are You Available To Begin Pet Sitting? How Did You Hear About Us?