Volunteer Aplication Volunteers must be at least 16 years of age. We cannot accept any court-ordered community service at this time. Please enable JavaScript in your browser to complete this form.Name *FirstLastDOB *Street Address *City *State *AlabamaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code *Cell Phone *Email *Preferred Method of ContactPhoneEmailVolunteer InterestsWhat opportunities interest you most within our organization? (Select all that apply) Level 1 trainer-puppy raiserTraining intern or assistantOccasional care giver/kennel assistantTransportationAdministrationFundraisingCraftsEventsOtherList any employment, hobbies, training, or education that you feel would benefit our organizationHow 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?YesNoIf yes, when and in what capacity?Have you ever received services from Canines for Change?YesNoIf yes, what services were provided?Do you have a valid driver's license?YesNoDo you have a car available for use while volunteering?YesNoReference #1 NamePlease list the names and contact information for three character references.Reference #1 RelationshipReference #1 PhoneReference #2 NameReference #2 RelationshipReference #2 PhoneReference #3 NameReference #3 RelationshipReference #3 PhoneConfirmation 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 programSubmit
