CONTACT INFORMATION

Name*

Your Email*

Address

City

State

Zipcode

Home Phone

Cell Phone

Occupation

Employer

PERSON TO NOTIFY IN CASE OF EMERGENCY

Name

Relationship

Home Phone

Alternate Phone

Please check the volunteer opportunities you would like to participate in

Dog walking & enrichmentCat enrichmentGroomingSpecial eventsOther (explain in comments)

Please answer the following questions

Birth date

Are you at least 16 years of age? yesno

If NO, do you have an adult (age 21 or older) present? yesno

Are you able to walk a dog that weighs 50lbs or more? yesno

Are there any animals that you are unable to work with? yesno

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

If YES, explain:

Do you need documentation of the volunteer hours you need to complete? yesno

If YES, how many hours do you need to complete?

How did you hear about Open Door?

COMMENTS

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.