ADL Membership Registration Form

Pawsitism Volunteer Application

Volunteers are the life force of Pawsitism. They touch every aspect of our operations and provide the highest quality care for pets. This work enables us to magnify our impact and provide more service dog to families in need.
Today's Date

MonthDayYear
Volunteer Name*

First NameLast Name
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Why would you like to volunteer for Pawsitism Inc.?
How often would you be available to volunteer for Pawsitism Inc.?
Please list the names and ages of the members of your household that would also want to help?
(Please indicate N/A if appropriate)
What areas are you interested in volunteering for?

EventsFundraisersPuppy RaiserPuppy SitterAdministrativeOther
Do you have transportation to and from the facility or events?

yesno
Do you work? If so, where?
(Please indicate N/A if appropriate)
Do you have dogs at home?

yesno
What breed? Age? Sex? Spayed or neutered?
Do you have a connection to anyone with autism? If so, how do you know them?
If asked to work with the puppies: Are you willing to adhere to our policy to keep our puppies healthy and safe at all times, including keeping them on a leash unless in a fenced in area, and providing adequate exercise and socialization?

yesno
What is your experience with dogs-obedience, training, handling, showing, fostering, raising, etc.?
Please summarize special skills and qualifications you have acquired from home, employment, previous volunteer work, or through activities, including hobbies or sports.
Please let us know how you heard of Pawsitism Inc.

InternetFriend ReferralVeterinarianGroomerOther
Is there anything else you would like us to know?
Emergency Contact

First NameLast Name
Phone Number
I am under 18 years of age*

I have the consent of my parental guardians to fill out this form
Parent/Guardian Name

First NameLast Name
THANK YOU for filling out this application. We look forward to speaking with you soon!

Phone: 920-277-7473 Email: pawsitism@gmail.com
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Pawsitism Volunteer Application