Volunteer Application Contact Information First Name * Last Name * Address * City * State/Province * Zip Code * - Email * Home Phone * Work Phone x Cell Phone * Alt Email *=requiredBackground & Volunteer Interests Please provide the names and telephone numbers of 2 references who are not family members * Please describe your current pets, including name, breed, sex, and age * Are they spayed or neutered? * Choose one:YesNo Have your pets been on heart worm preventative for the last 6 months? * Choose one:YesNo Please provide the name, address, phone, and e-mail (if applicable) of at least one veterinarian reference that is familiar with you and your family and the vet that currently provides the vet care for your own animals * Do you have experience with Rescue? (This IS NOT a requirement) Can you volunteer for any of the following: Be a telephone contact for your local shelters and pounds? * Choose one:YesNoMaybe Identify an animal in shelter or pound? * Choose one:YesNoMaybe Be a telephone contact to assist owners in care and training, or referrals to those who can assist? * Choose one:YesNoMaybe Help with transporting Rescues from shelters to foster care, or Veterinarian? * Choose one:YesNoMaybe If yes, what days and how far are you willing to drive? Be a contact for prospective adopting families? * Choose one:YesNoMaybe Help with screening new potential adopters? * Choose one:YesNoMaybe Perform a Home Visit? * Choose one:YesNoMaybe Help with the distribution of materials to your local shelters and other Rescue Groups? * Choose one:YesNoMaybe Provide possible contacts for reduced costs with your Veterinarian? * Choose one:YesNoMaybe Can you help with planning events? * Choose one:YesNoMaybe Can you help with fundraising? Choose one:YesNoMaybe Can you help with any of the following Posting/updating social media Posting/updating adoption sites Updating website What other tasks/duties could you help with? Do you have any comments or questions? *=required
