subject_line
Volunteer Sign up Form
Blind Dog Rescue Alliance is seeking volunteers to serve our community. Please fill in the information below to indicate how you would like to become involved.
Please note that we are unable to fulfill community service hours or verify volunteer hours.
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Home Phone
*
Work Phone
Cell Phone
Email Address
*
I certify that I am at least 18 years old
, the minimum age required to volunteer for the Blind Dog Rescue Alliance.
If I am under the age of 18, I must have a parent or guardian join first.
*
Yes, I certify that I am over 18
No - The name of my parent or guardian who is a volunteer is:
No - The name of my parent or guardian who is a volunteer is:
Please select the teams you may be interested in participating in:
*
Adoption (run adoptions, do home checks)
Application (check references for potential adopters)
Events (set up/take down table at public events)
Foster (foster dogs in your home)
Fundraising (assist with various fundraising efforts)
Intake: (contact shelters about dogs in their shelter)
Internet: (help update websites - no experience required)
Networking: (spread the word about blind dogs in shelters)
Newsletter: (help put together newsletter)
Owner Surrender (help contact people rehoming their dog)
Transport (help schedule transport of dogs into rescue)
Volunteer (check references for people wanting to volunteer)
Follow Up (contact alumni and make sure everything is okay)
Where did you hear about Blind Dog Rescue Alliance?
Email advertisement
Flyer or posting
Friend or family
Newspaper advertisement
Personal inquiry
Website advertisement
Other
Other
Why are you interested in becoming a volunteer?
*
Describe experience working with animals:
*
Describe present and previous volunteer experiences:
*
Current Pets
Please list any dogs you currently own:
Name
Sex
M
F
Age
Breed
Name
Sex
M
F
Age
Breed
Name
Sex
M
F
Age
Breed
Name
Sex
M
F
Age
Breed
Name
Sex
M
F
Age
Breed
If more than 5, please list here.
How many dogs have you owned in the past 10 years that are no longer with you?
*
none
1
2
3
4
5
more than 5
Please describe what happened to them:
Do you own any cats?
*
yes
no
If so, how many?
1
2
3
4
5
more than 5
Do you own any other animals?
*
yes
no
If so, please list:
Do you have a regular vet?
*
Yes
No
If yes, please provide the following:
Name
Phone number
Please list 3 references (only one family member):
Name
*
Phone number
*
Relationship
*
Name 2
*
Phone number
*
Relationship
*
Name 3
*
Phone number
*
Relationship
*
If you decide you would like to foster, can a representative of BDRA visit your home?
*
yes
no
If no, please explain why not:
Is there anything else you would like us to consider as we review your application?
BDRA has the right to deny any application.
I attest that all the information in this application is correct.
I also attest that I have never been convicted of animal abuse or neglect.
I agree to abide by the rules and policies of Blind Dog Rescue Alliance (BDRA).
By checking the "I Agree" box, I hereby accept the above Terms and Conditions.
*
I Agree
I Disagree
I would like to voluntarily donate some money for care of dogs in BDRA.
I acknowledge, by donating money to the Blind Dog Rescue Alliance via PayPal, this will in no means influence BDRA's decision on my volunteer application.
This donation is solely based on my desire to help dogs in need!
My donation is: