Name:                                                                  Occupation:

 

Home Address                                                                                                 Contact

Street:                                              Day Phone:

City:                                                 Evening Phone:

Province:                                           Email:

Postal Code:                                      Best Time to Contact:

                                                                                                                        Best Method of Contact:

Current Pets

Do you have pets now? Yes No

If yes, how many?

Type of pets?

If dog, please list breed:

Age & Sex:

Are your pets spayed or neutered?

Are your pets current on all vaccinations?

 

Dog Experience (type "y" for every one that applies)

Rescue Shelter   Yes No    Training   Yes No     Showing    Yes No     Breeding    Yes No   

Vet/Vet Tech  Yes No   Therapy    Yes No    Other   Yes No

If other, please explain

Do you currently volunteer with another rescue group? (If yes, please explain what group and in what capacity)

Have you in the past volunteered with another rescue group? (If yes, please explain what group and in what capacity)

Have you previously volunteered for the Penny Foundation? (If yes, please provide when and in what capactiy)

 

Type of Volunteering

Transport dogs, food, or supplies Yes No

Long distance transport of dogs Yes No

Assist at adoption events & fundraisers Yes No

Screen potential adopters & foster homes Yes No

Perform home checks Yes No

Visit local shelters Yes No

Visit non-local shelters Yes No

Flier (passenger commercial airlines – dog in-cabin) Yes No

Administrative duties Yes No

If you chose long distance transport or visit non-local shelters, please list distance willing to travel from your home

If you chose administrative duties, in which of the following capacities can you provide skills?

Data management Yes No

Web design Yes No

Email list management Yes No

Respond to phone & email inquiries Yes No

 

Availability

Monday      From       To  

Tuesday      From         To  

Wednesday      From         To  

Thursday      From        To  

Friday      From         To  

Saturday       From         To  

Sunday      From        To  

 

References
Please provide two references:

Name   Phone #   Relationship

Name   Phone #   Relationship