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
Phone is a:*
Date You Are Available to To Start*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you willing to be a foster for a Service Dog?*

YesNo
If yes, where would you be fostering the service dog?*
(at my home, my farm, my dog kennel facility, in name of city)
Do you have a valid driver's license?*

YesNo
If yes, are you willing and able to go pick up a Service Dog?*

YesNo
How far are you willing to drive to pick up a Service Dog?*
(Time/Miles - indicator of time or miles)
If you want to volunteer at the My Service Dog's Place Facilities in Punta Gorda, FL, how far away from MWP and the MSDP Facilities do you live?
(Time/Miles - indicator of time to MWP in Punta Gorda, FL)
If you want to volunteer at the My Service Facilities in Punta Gorda, FL, how many hours per week would you like to commit?

0-55-1010-1515-2020-2525-3030-3535-40
What days a week are you able to Volunteer at the Facility?

SundayMondayTuesdayWednesdayThursdayFridaySaturday
What time of day are you most interested in volunteering at the Facility?

MorningsAfternoonsEvenings
What hours at the Facility you are most interested in volunteering? (check all that apply)

7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm7pmFlexible/As NeededOther
Work history / Experience with dogs

(Example: Training, walking, bathing, crate 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.*
The size of the dog I can foster is (Check all that apply):*

Small (under 15 pounds)Medium (15 pounds to 45 pounds)Large (46 pounds to 75 pounds)Extra Large (76 pounds or more)
The sex of the dog I can foster is (Check all that apply):*

Female (spayed)Female (not spayed)Male (neutered)Male (not neutered
Do you have a fenced in yard area?*

YesNoNo, but a Dog park is available/nearby
Do you have any pets? (select all that apply)*

NoYes, Dog(s)Yes, Cat(s)Yes, Other
Date Submitted*

MonthDayYear
Date
Type Signature*
Should be Empty:

My Service Dog's Place Volunteer Application

Work history / Experience with dogs