ACDR Volunteer Application

ACDR Volunteer Application

Tell us how you'd like to help. We appreciate you wanting to become part of the team 🐾
Applicant Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Facebook Name (used to add you to the private ACDR Volunteer group)
Co-applicant Name (partner/spouse in same home)

First NameLast Name
Co-applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Co-applicant Email
example@example.com
Co-applicant Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Co-applicant Facebook Name (used to add you to the private ACDR Volunteer group)
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Volunteer Availability
General Availability

Other
Volunteer Interests
How would you like to help ACDR?

Other
If you selected 'transporting dogs' above, what is the geographic area you prefer to cover?
Maximum round-trip distance willing to travel (km)
Days Available
Transport availability
Experience & Qualifications
Licenses and Certifications

Other
Professional or Specialized Skills

Other
Languages Spoken
First Aid or Pet First Aid Training

Other
Personal References
Two personal references (not family) are required. Please provide details for both references.
Reference #1 Name

First NameLast Name
Relationship to applicant
How long known to each other?
Reference #1 phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference #1 email
example@example.com
Reference #2 Name

First NameLast Name
Relationship to applicant
How long known to each other?
Reference #2 phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2 email
example@example.com
Conduct and Expectations
Acknowledgment of conduct and expectations
Confidentiality and privacy commitment
Conditional Expectations: Transport
I acknowledge the transport expectations below
If needed, please describe any transport limitations or restrictions. NOTE: ACDR will provide any harnesses, seatbelts, crates or booster seats required.
If there is anything else you would like to share, please let us know here 👇🏻
By signing here you agree for ACDR to process your application and agree to the Conduct and Expectations listed above.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

ACDR Volunteer Application

Applicant Information

Volunteer Availability

Volunteer Interests

Experience & Qualifications

Personal References

Conduct and Expectations

Conditional Expectations: Transport