volunteer application

Personal Information

Full Name

Date of Birth

Phone

Home Address

City, State, Zip Code

Occupation

Place of Employment

Work Phone

Emergency Contact Information

Emergency Contact Full Name

Emergency Contact Phone

Date of Birth

Relation to You

Street Address

Emergency Contact Email

City, State, Zip Code

Occupation

Work Phone

Place of Employment

Additional Information

Have you ever been convicted of a felony?

Yes

Do you have training experience with animals?

Yes

Agreement

I waive Canine Soulmates Rescue & the adoption facilities from any and all liability for injuries incurred while performing volunteer services. I understand that includes all Volunteers, Directors, Board Members, and Employees.

If the Volunteer is under 18 years of age, I confirm that I am the parent/legal guardian and give permission for my child/dependent to participate in volunteer activities for Canine Soulmates Rescue & the adoption facilities.

Please Type Your Name and Date for Electronic Signature

Date