Volunteer Application

Name:

Date:

Street Address:

City:

State:

Zip:

Home #:

Work #:

Cell #:

E-mail address:

Please re-type email address:

Occupation

Ages and Number of children at home:

Animals you currently own (Please include type, sex, breed, age, etc.):

Vets name

Vets number

Have you worked with other rescues in the past?: YES NO

If so, please list name and contact for other rescues:

AREA OF INTEREST/ EXPERTISE
Please check those that apply.

Fostering Only:

Fostering to find a canine companion:

Transportation:

Grooming:

Fundraising:

Attending Events:

List other areas in which you are willing to volunteer that we may not have listed.

(For purposes of this application, typing your name is equivalent to a signature and indicates that all information contained herein is complete and accurate to the best of your knowledge.)
Signature:

When you click the submit button you should be re-directed to "completed form" page.
If a box pops up indicating there are required fields that have not been filled in,
please go back and fill in the indicated fields.
Submitting this form will reveal your e-mail address to the recipient,
and will send the form data without encrypting it for privacy.

If you have questions or are unsure, please email Sharon at lassie5900@aol.com