DO YOU ENJOY WORKING WITH ANIMALS AND PEOPLE? DO YOU WANT TO HELP A GREAT
CAUSE?
Whether you have your own pet, have an interest in therapy dog work or simply
love animals, being a New Leash On Life Lend a Paw volunteer gives you the
opportunity to work with a dog (your own or one of ours) while enhancing
the lives of people in need.
If you have an interest in becoming a New Leash On Life Lend a Paw
volunteer, fill in the application below and one of
our representatives will get back to you.
Please provide the following
contact information:
Age Group:
Sex:
Female
Male
Occupation:
Current Employer:
List any degrees obtained:
Are you bi-lingual?
Yes No
If yes, which languages?
Do you have automobile
insurance?
Yes No
Have you
worked/volunteered for any other nonprofit organization?
Yes
No
If yes, which
organization(s)?
Years of service:
Have you
ever been involved in therapy dog work before?
Yes
No
If yes, which
organization(s)?
Are you
interested in getting involved with your own dog or one of ours?
I would like to:
If you would like
to use your own dog for therapy work, has your dog been trained?
Are you a member
of any animal welfare organizations? How do you participate?
List previous
experiences (volunteer, paid, or educational) that would be helpful in
working with animals:
Activity:
Organization:
Date:
-- mm/dd/yy
Activity:
Organization:
Date:
-- mm/dd/yy
Activity:
Organization:
Date:
-- mm/dd/yy
How did you hear
about New Leash On Life?
When are you
available to start your volunteer work?
-- mm/dd/yy
Please indicate
the day(s) of the week you are available for volunteer work:
MON
TUES
WED
THURS
FRI
SAT
SUN
Check areas of
interest:
Adoptions (handling dogs or information table)
Helping at our E.R.A. Center ("The Ranch") (walking and feeding dogs, cleaning,
etc.)
Lend a Paw Therapy dog work
Education
Fostering
Fundraising
Office/Clerical
Special Projects
Name and Phone
Number of reference:
Name
Home Phone
Name
Home Phone
In case of
emergency, the contact person is:
Name
Work Phone
Home Phone
Have you ever
been convicted of any crimes, including those against animals? (Do not
include minor traffic violations.)
Yes No
If yes, list offense:
Date:
-- mm/dd/yy
Location:
Fine/Sentence:
Are you
currently on probation, parole or awaiting trial ? (Please explain.)
By choosing Yes below, I declare under penalty
of perjury that all statements on this application form are true and complete
to the best of my knowledge.
I understand that false, misleading or incomplete information shall be cause
for disqualification.
