Volunteer Application Form

Name: ______________________________________ E-mail Address: ______________________________

Home Phone: ________________________________ Work Phone: _________________________________

Address: ________________________________________________________________________________

 

May we call you at work? __Yes __No

Please check your age group: ___10-17 ___18-30 ___31-50 ___51-65 ___65+

How did you learn about Hawaii Canines For Independence?

Please indicate the days and hours you are available for volunteer work:

Any additional comments about your schedule?

When can you begin volunteer work?

 

Please indicate the type of volunteer work you are interested in:

__ Puppy Raising(3-9months)

__ Dog Sitting(short-term)

__ Dog Grooming

__ Cleaning/Maintenance

__ Gardening

__ Dog Walking/Playing

__ Office Work

__ Fund Raising

__ PR/Marketing

__ Community Outreach

__ Special Occasions/Graduations

 

Please list any experience you have relating to the areas you checked:

How will your work with Hawaii Canines For Independence be of benefit to you?

How will your work with Hawaii Canines for Independence be of benefit to our agency?

 

Do you work best when you...

__ initiate and follow through by yourself (after sufficient training), or...

__ receive ongoing direction

 

If you are employed, please list your employers name, phone number and address:

_______________________________________________________________

 

Please list two personal references.

Name: _______________________ Name: _______________________

Phone: _______________________ Phone: ________________________

E-mail Address: _____________________ E-mail Address: ______________________

 

Volunteer Applicant Agreement

I declare that the above information is accurate. I will not hold Hawaii Canines for Independence liable for any injuries sustained while working for them. I understand that if I am injured while acting as an unpaid member of the volunteer staff I am not covered by Worker's Compensation Law.

 

________________________ _______________

Signature & Date