First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone

Alt Email

How old are you?*

Do you have any experience with animals?*
Choose one: Yes No

What type of experience do you have?*

Do you work?

Full-time or part-time?*

What days of the week and what times are you available to volunteer?*

Do you have any interest in doing any of the following volunteer jobs for our rescue?

Do you have any experience in any of the above, or any of work/volunteer experience that you want to share with us?

Have you ever been charged or convicted of a felony or misdemeanor involving the mistreatment of animals?*
Choose one: Yes No

List at least one reference (who is not a family member)*

What is the phone number of your reference, the best time to contact, and the preferred method of contact (phone call or text)?*

Anything else you'd like to tell us?

I certify that the information entered on this application is true. Wag On Inn Rescue may contact my references and I give my permission for my references to release information about my ability to care for an animal to Wag On Inn Rescue. Enter your name and date