Can Do Canines Volunteer Application

Can Do Canines Volunteer Application

Can Do Canines Volunteer Application
Name

First NameLast Name
Email
example@example.com
As a volunteer, you will receive our Volunteer E-Newsletter, called the Pack Post, once per month. If you would like to receive our general newsletter and additional information about news and events, check the box below.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Type
Primary Address
Pronouns
e.g. she/her, he/him, they/them, xe/xem, ze/hir
Do you have a nickname or name you would like us to use for you that is different from the name you typed in above? If so, please share that name here.
We include volunteers' names in newsletters and other publications. Please share the name you would prefer that we use for you and/or your family in these publications.
e.g. The Thompson Family, G. Thompson, Gene and Sue Thompson
Date of Birth

MonthDayYear
Date
How did you hear about Can Do Canines?
Please describe further:
Employment or education status
This information is used to help us identify your availability for engaging with our program as a volunteer.
Place of employment or school
Do you work at one of the Correctional Institutions in which Can Do Canines has a Prison Program (Jackson Correctional Institution, FMC Rochester, Stanley Correctional Institution, the Federal Correctional Institution in Waseca, or Fox Lake Correctional Institution)?
Profession
Do you work or attend school from home?
Volunteer Interests
Which volunteer roles interest you? Select all that apply.

Emergency Contact Information
Name of your Emergency Contact

First NameLast Name
Phone Number of your Emergency Contact
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any physical disabilities or health concerns that would prevent you from performing certain kinds of work or performing work in a certain environment?
If yes, please explain:
Please let us know about any accommodations that would remove barriers to your full participation as a volunteer.
Click Submit to complete your Can Do Canines volunteer application.
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