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Volunteer Application
Name: required
Address1:required
Address2:
City:
State:
Zip Code:
Home Phone:required
Work Phone:required
Email 1:required
Alternate Email:
Do you currently have pets? YES NO
If yes, please list all pets living in the household. Include name, breed, age, sex and spay/neuter status.	List Pets:
Have you owned pets in the past? YES NO
If yes, what kind and what happened to them?	Explain:
Please provide us with a veterinary reference (including phone number):	Vet:
Please provide us with a personal reference, not related to you (including phone number):	Personal Reference:
What type of volunteer work are you interested in?	Computer Home Inspections Transports Special Events Fund Raising Dog Assignment/Applicant Reviews
If home visits or transports, how far are you willing to travel?
Please list any Rescue or Shelter experience you have, including type of work performed, name, address, phone number and email address of facility, name of supervisor.	Experience:
If you have no Rescue or Shelter experience, why do you feel compelled to do this type of volunteer work?
How much time can you volunteer each week?
Add any additional comments or suggestions here - please be brief:	Comments:
Thank you for your application.
All applicants are subject to a home visit and reference check. We reserve the right to refuse or reject any application.