First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Are you at least 18 years old?*

If under 18, please list your age.

Have you ever volunteered for another rescue or shelter?*

If you have volunteered for another rescue/shelter in the past, please list the rescues/shelters by name and dates you volunteered. If you are no longer volunteering for them, please list the reasons why.

Have you ever adopted a dog from Anchor Paws Rescue or any other rescue or shelter?*

Please select all days that you are available.

Here are some volunteer opportunities with Anchor Paws Rescue. Please select all functions that you have interest in volunteering your time.

If you have any other skills or interests, please list them here:

Please describe WHY you are interested in volunteering with Anchor Paws Rescue.*

Please list at least two references (who are not family members). List each reference on a separate line. Include Name, Phone Number, email address and relationship to you.*

Additional comments:

By submitting this application, I affirm that ALL information is true and complete and that neither myself or anyone that will be in contact with the dogs has ever been convicted of animal cruelty or abuse. I agree to give permission for a representative of Anchor Paws Rescue to call my references. I also understand that a vet reference and home visit by an Anchor Paws representative is required should I decide to become a foster home.