Volunteer Application Form

Please complete this application form if you are interested in becoming a Dogs For Better Lives volunteer. Once you complete the form, click the Continue button at the bottom.

Name and Contact Information

All volunteers must be age 18 years of age or older. You must be able to provide proof prior to volunteering.

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Work phone:

OK to call me here

Cell phone:

Email address:

How shall we contact you?:

Mail

Phone

Volunteer Opportunity

Please mark what program(s) you would like to volunteer for.

* Assignment Preference:

Assignment

Importance

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic makeup of our volunteers.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Availability

Please indicate the days and times you are usually available to volunteer. Keep in mind many of our volunteer positions are Monday through Friday between 8:00 am and 4:30 pm.

Experience

Please tell us about your experience which would apply to being a volunteer in the position(s) you are applying for, including any dog breeds you have experience with:

Skills

Please tell us about your skills which would apply to being a volunteer in the position(s) you are applying for:

References

Please provide name, current phone numbers, and email addresses of three references not related to you.

1

2

First name:

Last name:

Cell phone:

OK to call here

Cell phone:

OK to call here

Email address:

3

First name:

Last name:

Cell phone:

OK to call here

Email address:

Emergency Contact Information

Once you become a volunteer, we want to be certain we have your emergency contact information on file. By entering contact information, you are giving consent to be transported to nearby hospital and/or emergency medical facility, and understand that no way is Dogs for Better Lives responsible for any medical expenses. Additionally, you are agreeing to defend and hold harmless Dogs for Better Lives, its' employees and agents from any and all medical expenses provided to you by any health care provider.

1

2

First name:

Last name:

Home phone:

Work phone:

OK to call here

Work phone:

OK to call here

Cell phone:

Relationship:

Do you have any medical conditions we should be aware of?

Online Volunteer System Access

To enable you to login to our Volunteer Management System to track your volunteer hours, update your contact information, and review news and updates. Please create a password.

Please enter a password that:

Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.

Password:

Confirm password:

Acknowledgement

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that acceptance into the Dogs for Better Lives Volunteer Program is not guaranteed.

I understand a personal investigative criminal background check will be performed if I am considered for this volunteer position.

I understand that any misrepresentation may be cause for dismissal as a volunteer at Dogs for Better Lives. I am aware that Dogs for Better Lives has the right to release me from services at any time, just as I have the right to withdraw from the volunteer service at any time.

The information in this application is true and complete, and I have not knowingly withheld any information.

I Agree