Poodle Rescue of Vermont Volunteer Application

Personal Information

Application Date * +

Name *

Street Address *

City *

State *

ZIP *

Phone Number *

Email Address *

What is the best way to reach you? *

Phone

Email

Text

Emergency Contact and Phone Number: *

Additional Information

How did you hear about Poodle Rescue of Vermont (PRVT)? *

Why are you interested in volunteering for PRVT? *

Have you had any previous volunteer experience with other rescue groups? If so, please elaborate on the group and your role(s). *

What type(s) of volunteering are you interested in doing? *

When are you normally able to volunteer? *

Weekends

Weekdays

Flexible

Additional Comments Additional Comments

Have you ever owned a dog before? If yes, please indicate what happened in the box to the right of the answers. *

No

Yes Yes

Do you currently own any other dogs? *

No

Yes

If you own another dog, please indicate the breed, sex, and if it has been spayed/neutered. *

Have you ever been charged/convicted of a crime related to animal abuse/abandonment? *

No

Yes

References

Please provide THREE personal references. Include their Name, Phone number, and how this person knows you: No relatives, vets, or groomers please.

Potential groomers, please include at least TWO client references.

Reference 1: *

Reference 2: *

Reference 3: *

Volunteer Agreement

I agree to provide services and perform duties related to the rescuing of poodles for Poodle Rescue of Vermont, Inc.

These duties may include, but are not limited to, transporting poodles, fostering poodles, working concessions, fundraising and any other duties deemed volunteer duties of the Poodle Rescue of Vermont (PRVT) organization.

I understand that any poodle coming into my/our possession for transporting or fostering for PRVT is the property of PRVT and I will abide by the policies and procedures set forth by PRVT.

I hereby accept all terms of this agreement and hereby release Poodle Rescue of Vermont, Inc., its Board of Directors, Officers, Members Volunteers and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of performing services and duties for Poodle Rescue of Vermont, Inc.

I agree to indemnify PRVT, Inc. from any costs and legal fees incurred by PRVT in connection with any claims, demands or actions regarding services and duties performed for Poodle Rescue of Vermont, Inc.

I have accurately and truthfully completed this Volunteer Application and Agreement. *

Yes

Submitting a Volunteer Application signifies you have read and accept the conditions as stated above.

Transport	Publicity - Representing PRVT at Public Events
Grooming	Fundraising
Grant Writing	Website Maintenance
Newsletter Writing	Recordkeeper
Foster (please complete Foster Application)	Other Other