MSDP Volunteer Application Form

My Service Dog's Place Volunteer Application

All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin. We thank you for wanting to become apart of our MSDP team.
Full Name*

First NameLast Name
E-mail*
Best Contact Number*
Please include area code
Date You Are Available to To Start*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How far away from MWP do you live?*
(Time/Miles - indicator of time to MWP)
Do you have a valid driver's license?*

YesNo
How Many Hours Do You Want to Volunteer and Commit to Per Week?

0-55-1010-1515-2020-2525-3030-3535-40
How Many Hours Do You Want to Volunteer and Commit to Per Week?*

0-55-1010-1515-2020-2525-3030-3535-40
What Days Are You Available to Volunteer?

SundayMondayTuesdayWednesdayThursdayFridaySaturday
What Days Are You Available to Volunteer?*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
What Times of Day Are You Most Interested In Volunteering?

MorningsAfternoonsEvenings
What Times of Day Are You Most Interested In Volunteering?*

MorningsAfternoonsEvenings
Hours You are Most Interested in Volunteering? (check all that apply)

7:00am8:00am9:00am10:00am11:00am12:00pm1:00pm2:00pm3:00pm4:00pm5:00pm6:00pm7:00pmFlexible/As NeededOther
Hours You are Most Interested in Volunteering? (check all that apply)*

7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm7pmFlexible/As NeededOther
Work history / Experience with dogs

(Example: Training, walking, bathing, create cleaning, etc)
Please Describe Your Work History/Experience with Dogs.*
Work You Are Willing To Do To Help The Service Dogs Who Will Be Missing Their Owners.*
(Example: Snuggling, Walking, Playing in Dog Park, Cleaning Kennels, etc)
Please Tell Us Anything Else You'd Like Us To Know About You, Your Experience With Dogs, and/or What Else You Can Help Us With To Make Time Away From Their Owners Less Stressful For These Wonderful Dogs.*
Type Signature*
Should be Empty:

My Service Dog's Place Volunteer Application

Work history / Experience with dogs