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".

Date *
MM
/
DD
/
YYYY
Personal Information
Enter your personal information here.
First name *
Your answer
Last name *
Your answer
Phone *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Facebook username (or N/A) *
Your answer
Your age *
Your answer
Do you have your own reliable transportation? *
Occupation / employer? *
Your answer
What insurance do you have? *
Required
Have you ever been convicted of a felony, criminal charges, or been placed on probation? *
If yes, please explain (or N/A). *
Your answer
Volunteering for CHN
How would you like to volunteer? *
Required
If Professional Skill or Other, please specify. *
Your answer
What is your Volunteering Availability? (Please select all that apply) *
Required
If Other, please specify. *
Your answer
Have you volunteered with a dog related organization before? *
Check all that apply.
Required
Current Companion Animals
Enter your companion animal information here.
Do you currently have any pets of your own? *
If so, please provide names, types, breeds, genders, ages, if indoors or outdoors, and how long you have owned them (or N/A). *
Your answer
Are your current cats and dogs spayed/neutered and up-to-date on vaccinations? *
Do you have a veterinarian? *
Name of your veterinarian (or N/A)? *
Your answer
Phone number of your veterinarian (or N/A)? *
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? *
References and Legal
Enter your reference and legal compliance information here.
Please provide a primary reference, name, phone number and relationship. *
Your answer
Please provide a secondary reference, name, phone number and relationship. *
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. *
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. *
I hereby consent to a background check with the information provided. *
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. *
I further understand and consent that I must agree to the terms of the Agreement and sign the Volunteer Agreement before I can volunteer. *
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. *
Your answer
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