Please fill this form out entirely, to the best of your ability. Missing or incorrect information may cause delays in processing your applicaiton.

YOUR CONTACT INFORMATION

First Name *

Last Name *

Second family member first name (optional)

Second family member last name (optional)

Address 1 *

Address 2

City *

State *

ZIP Code *

Phone *

Cell Phone

Email Address *

Best Time to Contact *

Morning

Afternoon

Evening

Age *

Have you previously done volunteer work for this organization? *

Yes

No

PERSONAL REFERENCES

Please list 3 references (only 1 family member) *

	Name	Phone Number	Relationship
1.	Name	Phone Number	Relationship
2.	Name	Phone Number	Relationship
3.	Name	Phone Number	Relationship

PET OWNERSHIP

Dogs

How many dogs have you owned in the past 10 years that are no longer with you? *

Please describe what happened to them:

How many dogs do you currently own?

	Name	Age	Sex	Breed
1.	Name	Age	Sex	Breed
2.	Name	Age	Sex	Breed
3.	Name	Age	Sex	Breed
4.	Name	Age	Sex	Breed
5.	Name	Age	Sex	Breed

If more than 5 dogs, please list here:

Cats

How many cats have you owned in the past 10 years that you no longer have? *

Please describe what happened to them:

How many cats do you currently own? *

Have they ever interacted with dogs?

Yes

No

Please describe how they interact with dogs.

Can a member of HTHNBR visit your home? *

Yes

No

If no, why?

Other Pets

Do you currently own any other pets? *

Yes

No

Please list

VET REFERENCES

Do you have a regular vet? *

Yes

No

Please provide contact information requested for above vet:

	Name	Address	Phone Number
	Name	Address	Phone Number

Is this the vet you currently use?

Yes

No

If not, please explain:

VOLUNTEER EXPERIENCE

Why do you want to volunteer with Harnessed to Hope Northern Breed Rescue? *

How many hours a week do you think you can volunteer? *

Have you ever volunteered with any other agency or group? If so, please list them. *

Please describe your volunteer experiences.

Please list any dog clubs/groups you are currently a member of. Please list any positions held within these clubs/groups.

COMMITTEE INTERESTS

What teams are you interested in? *

Teams
Adoption: Running adoptions, calling adopters to follow-up
Applications: Checking adoption applications, talking to references
Behavior: provide behavior advice for adopters, foster homes, or people who contact us for help. Work with other volunteers to discuss behavior advice. If necessary, make recommendations to trainers.
Events: Manning the booth at events, selling merchandise, discussing rescue with the public
Follow Up: Contacting adopters for routine "follow-up" calls, check on medical and/or behavioral issues at set points and as need arises
Fundraising: Finding and running fundraisers, finding and filling out grant applications
Intake: Checking shelters to see if they have northern breeds that need to go to rescues
Internet: Helping to update our website, Petfinder, and our social media sites
Merchandise: Research and develop new product ideas to generate funds, items for sale online, at events and in person
Volunteer: Check volunteer applications, help new volunteers get started

Are you willing to help transport dogs to foster homes, or drive to events? *

Yes

No

ADDITIONAL INFORMATION

Is there anything else you want us to consider as we process your application?

Comments/Additional Information

THANK YOU!

Thank you for applying to volunteer with Harnessed to Hope Northern Breed Rescue!

HTHNBR has the right to deny any application.
By clicking submit, you attest that all information in this application is correct. You also attest that you have never been convicted of animal neglect or abuse. You agree to abide by the rules and policies of HTHNBR.

Adoption	Applications	Behavior	Events
Follow Up	Foster	Fundraising	Intake (checking shelters)
Internet	Merchandise	Owner Surrender	Volunteer Applications Volunteer Applications