Volunteer Application
DIRECTIONS: Please select the text below and copy it into an email addressed to canisolida@yahoo.com. Fill out the form in the body of your email. CC yourself so that you have a copy for your records.
CANISOLIDA MASTIFFS FOSTER AND RETIREMENT HOME, INC. VOLUNTEER APPLICATION
I. Information about you & your family NAME:
ADDRESS:
CITY/ STATE:
ZIP CODE:
TELEPHONE: (home) (work)
E-MAIL ADDRESS:
OCCUPATION:
NAME AND RELATION OF ADULTS LIVING IN HOUSE:
NAMES AND AGES OF CHILDREN LIVING OR VISITING REGULARLY IN HOME:
Information about your current pets
PETS OWNED (breed, age, sex of each):
ARE YOUR PETS NEUTERED OR SPAYED? ___yes ___no (if not, why not?)
ARE YOUR PETS UP TO DATE ON VET CARE? ____yes ____no (if not, why not?)
If you are interested in fostering do you agree to a home visit being performed by a CMFRH volunteer? Yes or No (circle)
Please check all the ways you might be interested in volunteering?
Fundraising _____ Transporting _____ Website ____ Fostering dogs ____ Organizing events ____
Performing home visits ____ Evaluating adoptability of dogs ____ Other _______________________
Do you have dog training knowledge? Yes or No (circle)
Please list the name address and phone number of your veterinarian.
Please list a personal reference (one who is familiar with you and your family).
I certify that the above information is true as stated and that if I am volunteering to foster a dog I must first have a home visit performed by a CMFRH volunteer prior to the placement of a dog in my care. I also understand that the above information will be verified. I also agree to a personal interview with a volunteer, if requested.
PRINT NAME: ______________________________________
APPLICANT S SIGNATURE: _________________________ DATE: _________________
Please copy and paste this into an email to: canisolida@yahoo.com or print and mail to: CMFRH 12380 Edison St. NE Alliance, OH 44601
I. Information about you & your family NAME:
ADDRESS:
CITY/ STATE:
ZIP CODE:
TELEPHONE: (home) (work)
E-MAIL ADDRESS:
OCCUPATION:
NAME AND RELATION OF ADULTS LIVING IN HOUSE:
NAMES AND AGES OF CHILDREN LIVING OR VISITING REGULARLY IN HOME:
Information about your current pets
PETS OWNED (breed, age, sex of each):
ARE YOUR PETS NEUTERED OR SPAYED? ___yes ___no (if not, why not?)
ARE YOUR PETS UP TO DATE ON VET CARE? ____yes ____no (if not, why not?)
If you are interested in fostering do you agree to a home visit being performed by a CMFRH volunteer? Yes or No (circle)
Please check all the ways you might be interested in volunteering?
Fundraising _____ Transporting _____ Website ____ Fostering dogs ____ Organizing events ____
Performing home visits ____ Evaluating adoptability of dogs ____ Other _______________________
Do you have dog training knowledge? Yes or No (circle)
Please list the name address and phone number of your veterinarian.
Please list a personal reference (one who is familiar with you and your family).
I certify that the above information is true as stated and that if I am volunteering to foster a dog I must first have a home visit performed by a CMFRH volunteer prior to the placement of a dog in my care. I also understand that the above information will be verified. I also agree to a personal interview with a volunteer, if requested.
PRINT NAME: ______________________________________
APPLICANT S SIGNATURE: _________________________ DATE: _________________
Please copy and paste this into an email to: canisolida@yahoo.com or print and mail to: CMFRH 12380 Edison St. NE Alliance, OH 44601
