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 *
Have you raised, trained or been in direct contact with a Service Dog or Puppy Training? *
How long have you worked for your current employer? *
Training, Trainers, Volunteers, and Board Members are respected with the highest degree of integrity.
Everyone’s stories are for them to share. Any sharing of confidential information is unacceptable. 
Will you honor our commitment to the highest code of ethics?
 *
In reference to confidentiality, our sharing on Social Media, presentations, workshops, advertising, and in publications is with signed permission and will be authorized only through our acting Board of Directors. It is vital for us to share our stories. Do you understand the importance of this signed permission and authorizations?    *
How did you find us? *
To comply with federal, state, and private foundation grant awards, MobilityDog is required to collect client information. This information is used to improve programming and comply with funding mandates.
Please check all that apply: *
Please check all that apply *
Required
Volunteer Opportunities--Please Check Your Interests *
Required
What hours and days are able to donate to MSD-WCP each week? Each month? *
In a paragraph please introduce yourself and share something you are most proud of. If you run out of space write it out in a Google doc and share the URL with us. Or email it to info@mobilitydog.org. *
I will honor the confidentiality of my work, be on time, and show up as scheduled. I will always call when ill. I am available to do a training session and begin my volunteer work on ___________. *
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I understand that EVERYTHING is confidential within our community, and it is only the individual’s story to share. I understand that when we do share as a volunteer posting on social media or reaching out in workshops, Paws that Empower, Blogging, Social Media, and presentations, it is only with the express permission of MobilityDog. MobilityDog acquires permission to use one’s stories, photos, and videos for the betterment of our organization.   *
Required
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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