Personal and Contact Information

Please list two personal references (other than family members):

Please list any volunteer or rescue groups you have worked with:

Do you have any pets? No   Yes How many? 

What kind?

Have you owned a rescue dog? No Yes

Please give us your veterinarian’s information:

I would like to work directly with bassets because I have the following dog training skills: (Check all that apply)

Other, please explain: 

Have you worked with rescue dogs before?  Yes   No

Please describe your training methods:

List special skills, talents, and abilities such as computer knowledge (i.e. Word, Excel, Quicken, emails, etc.), professional certifications or licenses:

 Transport Opportunities

I would enjoy transporting Bassets: Yes No

I can drive miles. 

I am also able to transport in other areas (i.e. where your cottage is, or family located) Yes   No 

 That area is

Please describe any other experiences you have that might be helpful. 

General Volunteer Opportunities

I can help with (check all that apply): 

Other:

Special Volunteer Opportunities

Experienced people are needed to help review and update By-Laws and Policies, some knowledge of parliamentary procedures. We are also looking for volunteers who can assist with rewriting and updating various forms – should have writing skills and background in developing forms. 

In consideration of Basset Buddies Rescue, Inc. (BBR) accepting my application to participate in their volunteer program, I agree to release and hold harmless BBR from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation, attorney fees and disbursements, arising from or occasioned by my participation in any of the BBR activities, events, and programs.

I have read, understand, and agree to the above BBR Waiver of Liability. Furthermore, all of the information that I have provided is, to the best of my knowledge, true and complete. I understand that falsifying answers on this form or at any other time while a volunteer, disqualifies me from working with Basset Buddies Rescue.

Signed:  Date: