Apply for a Position with Sitter Getter Full Name: * Phone: * Email: * Address: * Position(s) you are applying for: * Babysitter Nanny Pet Sitter House Cleaner Date you are available to start work: * Availability (Days and Hours available): * Are you currently CPR or First Aid Certified: * Please include certifications and expiration dates Please list all work experience related to child care: * Please list 3 most recent employers: * Please include dates of employment, duties performed and supervisor's name Please list 3 personal and/or professional references (not related to you): Reference 1 Name: * Phone: * Email: * Relationship to Applicant: * Reference 2 Name: * Phone: * Email: * Relationship to Applicant: * Reference 3 Name: * Phone: * Email: * Relationship to Applicant: * Break Have you ever been convicted of a felony or misdemeanor, other than a traffic offense? * Yes No If yes, please explain: Have you ever been involuntarily terminated or asked to resign from any position of employment? * Yes No If yes, please explain: Acknowledgement and Authorization By checking this box, I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at a decision, including but not limited to a full criminal background checkv. In the event additional information is necessary to facilitate the criminal background check process, I hereby agree to provide such information. * I Agree Signature of applicant: * Please type your full name. Date * Break
