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
Format: (000) 000-0000.
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?

Other
Do you have transportation to and from the facility or events?
Do you work? If so, where?
(Please indicate N/A if appropriate)
Do you have dogs at home?
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?
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.
Is there anything else you would like us to know?
Emergency Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
I am under 18 years of age
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
Should be Empty:

Pawsitism Volunteer Application