Volunteer Application – Canines For Change

Canines For Change

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Volunteer Aplication

Volunteers must be at least 16 years of age. We cannot accept any court-ordered community service at this time.

Name *

First

Last

DOB *

Street Address *

City *

State *

Zip Code *

Cell Phone *

Email *

Preferred Method of Contact

Phone
Email

Volunteer Interests

Level 1 trainer-puppy raiser
Training intern or assistant
Occasional care giver/kennel assistant
Transportation
Administration
Fundraising
Crafts
Events
Other

What opportunities interest you most within our organization? (Select all that apply)

List any employment, hobbies, training, or education that you feel would benefit our organization

How did you hear about our organization? (referral, ad, social media, friend/family member, colleague, etc)

Why are you interested in working with our organization?

Have you ever worked for Canines for Change?

Yes
No

If yes, when and in what capacity?

Have you ever received services from Canines for Change?

Yes
No

If yes, what services were provided?

Do you have a valid driver's license?

Yes
No

Do you have a car available for use while volunteering?

Yes
No

Reference #1 Name

Please list the names and contact information for three character references.

Reference #1 Relationship

Reference #1 Phone

Reference #2 Name

Reference #2 Relationship

Reference #2 Phone

Reference #3 Name

Reference #3 Relationship

Reference #3 Phone

Confirmation of fact *

I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation in my application may result in the rejection of my application or discharge from the volunteer program.

Consent to Background *

I consent to having Canines for Change complete a background check prior to my volunteering.

Type Full Name *

By my signature, I certify that the above information is complete and correct. I realize that any misinterpretation of facts may result in disqualification from the program

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10753 Countryside Dr.
Grand Ledge, MI 48837
517-712-8066

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Volunteer Aplication

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Canines for Change... Miracles Daily