MobilityDog Volunteer Application
MOBILITYDOG MISSION: Mobility Service Dogs-West Coast Project DBA MobilityDog advances FUNctional
independence for people with disabilities through service dogs, education, and empowerment.
MOBILITYDOG VISION: Our vision is for the community of people with mobility disabilities to live full, vibrant lives and achieve FUNctional independence with or without a service dog’s assistance. We seek to create a user-friendly pathway for adults with mobility challenges.
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Email *
Full Name
City, State, Zip Code *
Home Phone
Cell Phone *
Work Phone
Website, Online Presence
Applicant's Date Of Birth *
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Parent's Name (If Applicant is a minor)  By entering the name and phone number of the parent, the parent gives consent for the child to be a volunteer. *
Parent's or Guardian's Phone Number *
How did you find us? *
Volunteer Opportunities--Please Check Your Interests *
Required
What hours and days are able to donate to MobilityDog each week? Each month? *
By entering my name below I agree to the terms of this application. *
On this Date *
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Email *
Thank You!
We are looking forward to receiving your application. If you can fill out the form online print the form in PDF and  email at info@mobilitydog.org. Once we receive your application, we will contact you for a meet and greet to learn more about each other. After the meet and greet, we will send you a DocuSign Volunteer Agreement and get you started meeting our community and doing the work you came to do! We are grateful and
honored to have you apply to volunteer.

  • MobilityDog is a 501(c)(3) nonprofit organization EIN 82-4426022
  • MobilityDog, 75 South Grand Avenue, Suite 116, Pasadena, CA 91105
  • Phone: +1(626) 470-7742 ~ INFO@MOBILITYDOG.ORG ~ Fax: +1(626) 628-3965
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