First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Your Age:*

Your Current Occupation/Employer And For How Long:*

How did you hear about us?*
Choose one: Internet Search Facebook Instagram Word Of Mouth Television Adoption Event Newspaper Other Website Other

Why are you interested in volunteering?*

Do you have German Shepherd, Belgian Malinois, or similar breed ownership experience? Please describe your skills and experience with the breed. *

In which areas are you interested in volunteering? Check all that apply.

If you checked "Other" in the question above, please describe what you are interested in.

Do you have any previous volunteer experiences? *

If you answered yes, please specify where you volunteered and describe your duties as a volunteer.

Please list any relevant professional skills.

Additional Comments/Information:

Have you ever been charged with or convicted of animal abuse or neglect? If yes, please provide full details (Charge, Date, City/State):*

A vast majority of the communication and coordination of the work we do is via our Facebook groups. Please provide the name you use for Facebook so we may easily identify you when approving membership to our pages(s)*

You must agree to the following terms and conditions for this application to be considered.  Submitting this form indicates agreement.

I certify that the information entered on this application is accurate and true to the best of my knowledge.

I understand that providing false information is grounds for denial of my application.

I certify that I am not applying for someone else, i.e., I am applying in my own name.

I certify that I will care for any and all SSR dogs promptly and responsibly. In the course of my duties, I will not permit any SSR dog to be in contact with anyone who has been charged with, or convicted of animal abuse or neglect.

I certify that I will not share private SSR information with anyone unless directed to do so by the board, including financials, passwords, contact information, etc.

I understand that when I am out in public, especially at SSR events, I am a representative of the rescue and will be polite and kind to all people and dogs that I meet.

I am 18 years or older.     

I understand that submission of this form provides a signature.

Do you agree to the terms and conditions listed above?*