First name:
Last
name:
Street address:
Address line 2:
City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
Email address:
Place of employment:
Occupation:
Age (if under 18):
Days/hours available:
Desired start date:
Have you ever owned a dog?
Yes
No
Do you currently own a dog?
Yes
No
If yes, list age(s) and breed(s)
What motivated you to request information on volunteering
for Puppy Prodigies?
Please check the areas you're interested in volunteering
for:
Puppy Cuddler
Secretary/Assistant
Clerical/Computer
Work
Board Member
Record
Keeper
Puppy
Parties
Fund Raising
Running
Errands
Puppy
Bather/Groomer
Vet Tech
Grant
Researcher & Proposal Writer
Legal
Services
Public
Relations/Marketing
Courier/Transportation
Social
Butterfly
Handy Andy
or Annie
Photographer
Videograher
Pooper
Scooper
Launderer
Other
Please describe your talents and interests that you would
like to share with us
Please provide a personal reference of a person who is not related to you,
but
knows you fairly well.
Name:
Relationship:
Phone number:
Email address:
As a volunteer I give Puppy Prodigies permission to contact my reference for
information. I also understand that Puppy Prodigies is not responsible for any
incidental damage or injury which may occur to any person or property during
my volunteer work with the program. If any person, including me, is injured or
any property, including my own, is damaged, I will not hold Puppy Prodigies
liable now nor will I make a claim against Puppy Prodigies in the future.
I authorize Puppy Prodigies to
use and publish for marketing, advertising, promotion or other lawful purpose
whatsoever, articles written, or photographs taken through any medium.
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