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You have reached our online volunteer application.

Online Volunteer Application Form

Date*
Date Format: MM slash DD slash YYYY

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*
Enter Email Confirm Email

Primary Phone Number*
Secondary Phone Number
Date of Birth*
Gender*
Are you of Hispanic, Latino or Spanish origin:*
Race*
Employment*
If currently employed, please list your employer
What type of work have you done in the past? (briefly describe)
If you are currently a student, what school, college or university do you attend?
What do you feel are your special skills, talents or hobbies?*
Please list any organizations for which you are currently serving or have served as a volunteer. Please include any memberships in service organizations.*
How did you hear about Therapet?*
When would you prefer to volunteer?*
Weekdays
Weekends
Evenings
Emergency Contact*
First Last
Emergency Contact's Relation to You
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
Do you have an animal you have in mind for Therapet?
If you are interested in certifying a dog as a Therapet, have you started obedience classes?
By typing my first and last name in the box below, I am certifying that the information I am submitting is accurate to the best of my knowledge.*
Name
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Apply to Volunteer

Online Volunteer Application Form

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