PERSONAL INFORMATION

       Name (First, Last)*:

          Current Address*:

                          City*:

                        State*:

                           Zip*:

         Home Telephone*: 

                   Cell Phone:

                Fax Number::

             Email Address*:

IF ALSO APPLYING -- SPOUSE/SIGNIFICANT OTHER PERSONAL INFORMATION

        Name (First, Last):

           Current Address:

                           City:

                         State:

                           Zip:

          Home Telephone:  

                   Cell Phone:

                 Fax Number:

              Email Address:

EMPLOYMENT INFORMATION (OPTIONAL)

          Current Employer: How Long?

          Employer Address:

                            City:

                          State:

                             Zip:

           Job Position/Title:

                  Work Phone: 

                      Work Fax:

Work E-Mail (if permitted):

IF ALSO APPLYING--SPOUSE/SIGNIFICANT OTHER EMPLOYMENT INFORMATION(OPTIONAL)

          Current Employer:  How Long?:

          Employer Address:

                            City:

                         State:

                                    Zip:

           Job Position/Title:

                  Work Phone:  

                      Work Fax:

Work E-Mail (if permitted):

MY PARTICULAR AREAS OF INTEREST ARE: (PLEASE CHECK ALL THAT APPLY)

If you have additional interest, write them in the space provided

I HAVE SKILL/KNOWLEDGE IN THE FOLLOWING AREAS THAT COULD BENEFIT LAB RESCUE:  (PLEASE CHECK ALL THAT APPLY)

If you have additional interest, write them in the space provided

GENERAL INFORMATION QUESTIONS

Please explain why you want to volunteer with Labrador Retriever Rescue of North Texas

PLEASE INDICATE APPROPRIATE RESPONSE:

Are you presently involved or have you ever been involved in animal rescue?

Yes   No

If yes, please explain type and length of involvement:

Are you available to volunteer for an event once a month on a regular basis?

Yes   No

 

Are you available to volunteer for an event two or three times a year?

Yes   No

 

Are Saturdays a good day for you to participate on weekday evenings in volunteer activities/meetings?

Yes   No

 

Could you also participate on weekday evenings in volunteer activities or meetings?

Yes   No

 

Are you presently an owner of a Labrador Retriever?

Yes   No

 

If you are an owner of a Labrador Retriever, was it a rescue dog?

Yes   No

 

ADDITIONAL INFORMATION:

Please provide any other information you feel may be helpful.