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CHN Volunteer Application
This volunteer application helps us get to know our new and potential volunteers while helping us learn how you want to help!
For required responses that are not applicable, simply enter "N/A".
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* Indicates required question
Date
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YYYY
Personal Information
First Name
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Your answer
Last Name
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Your answer
Phone
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Your answer
Street
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Your answer
City
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Your answer
State
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Your answer
Zip
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Your answer
Email
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Your answer
Facebook username (or N/A)
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Your answer
Your age
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Your answer
Do you have your own reliable transportation?
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Yes
No
Occupation / employer?
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Your answer
What insurance do you have?
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Health
Homeowners
Renters
Automobile
None
Required
Have you ever been convicted of a felony, criminal charges, or been placed on probation?
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Yes
No
If yes, please explain (or N/A).
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Your answer
Volunteering for CHN
How would you like to volunteer?
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Shelter Canine Care - Caring for shelter dogs of all ages located at the Canine Humane Network Rescue & Training Center. (Includes walking, socializing, cleaning, feeding and other care. Must be 18+ years of age.)
Shelter Dog Walker - Not interested in other care aspects. Must be 16+ years of age. Ages 16 & 17 need parental consent.
Shelter Supervised Canine Care - Socializing with shelter puppies located at the Canine Humane Network Rescue & Training Center and accompanying a parent/guardian on walks. (Must be 14-17 years of age with supervision.)
Shelter Maintenance - Includes landscaping, upkeep, general house cleaning.
Shelter Administrative Assistance - Includes filing and other paperwork.
Adoption Services - Assist our coordinators with applications, dog handling, research, communication, meet & greets, adoptions, contracts, filing, etc.
Event Planning & Community Outreach - Includes community outreach, events, fundraising, youth groups, etc.
Transport Team - Includes freedom rides, transfers from other rescues and shelters, veterinary & grooming appointments.
Social Media - Includes maintaining our online presence, updates, virtual outreach, etc.
Professional Skill - I have a professional skill such as law, accounting, social work, photography, grant writing, etc. that I would like to offer.
Other (Please specify below).
Required
If Professional Skill or Other, please specify.
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Your answer
What is your Volunteering Availability? (Please select all that apply)
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Mornings
Afternoons
Evenings
Weekdays Only
Weekends Only
Work from Home
Other (Please specify below).
Required
If Other, please specify.
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Your answer
Have you volunteered with a dog related organization before?
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Check all that apply.
Yes, I have 5+ years of dog rescue/organization volunteer experience.
Yes, I have volunteered with many dog rescues/organizations.
Yes, I have volunteered with 1 dog related organization.
Yes, I was paid to work with a dog related organization.
I am currently working with another animal related organization.
I have volunteered, but have never worked with animals.
No, this is my first time volunteering.
Other:
Required
Current Companion Animals
Do you currently have any pets of your own?
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Yes
No
If so, please provide names, types, breeds, genders, ages, if indoors or outdoors, and how long you have owned them (or N/A).
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Your answer
Are your current cats and dogs spayed/neutered and up-to-date on vaccinations?
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Yes, they are spayed/neutered and up-to-date on vaccinations
No, but they are spayed/neutered
No, but they are up-to-date on vaccines
No, they are neither spayed/neutered nor up-to-date on vaccines
Not applicable
Do you have a veterinarian?
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Yes
No
Name of your veterinarian (or N/A)?
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Your answer
Phone number of your veterinarian (or N/A)?
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Your answer
Please notify your veterinarian to release information to Canine Humane Network for verification of vaccine records, etc.
Did you breed any of your companion animals?
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Yes
No
References and Legal
Please provide a primary reference, name, phone number and relationship.
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Your answer
Please provide a secondary reference, name, phone number and relationship.
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Your answer
I agree that all statements in this application are made based on personal knowledge and are made for purposes of my application to volunteer for Canine Humane Network.
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Yes
No
I understand Canine Humane Network is very concerned about the security and safety of its volunteers. I understand that Canine Humane Network will not share this information for any reasons not connected to the Volunteer Program or legal compliance.
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Yes
No
I hereby consent to a background check with the information provided.
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Yes
No
I understand that if I am approved for volunteering, I consent to carefully read the “Volunteer Agreement and Policies,” which is a separate document from this “Volunteer Application.” The Volunteer Agreement represents the legal contract between a volunteer and CHN.
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Yes
No
I further understand and consent that I must agree to the terms of the Agreement and sign the Volunteer Agreement before I can volunteer.
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Yes
No
I have read this Application in its entirety, and I confirm that all statements contained in this document are made by me, and are truthful. I hereby enter my full name as confirmation via electronic signature.
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Your answer
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