NorthStar Volunteer Form

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone*

Work Phone*
x

Cell Phone*

Alt Email*

*=required

Please enter Unit or Apartment Number, if applicable:

County in which you live*

You must be at least 18 years old to volunteer with NorthStar Pet Rescue. Are you at least 18 years of age?*

Yes

Please list your occupation:*

Name of company, town & state in which you work*

How long with the company*

Less than a year	1 - 3 years
More than 3 years

Have you ever volunteered with an animal shelter or rescue? If yes, please provide details below: Name of rescue/shelter, how long, type of activities performed. In NO, enter "NA"*

If you have had previous experience at a shelter or rescue, what did you like? What do you feel worked well? We are always looking to improve and grow at NorthStar Pet Rescue. If you think it would be easier to speak to someone about your experience instead of writing it, please indicate that here.

If you have had previous experience at a shelter or rescue, what did you NOT like? What improvements/changes would you have made? We are always looking to improve and grow at NorthStar Pet Rescue. If you think it would be easier to speak to someone about your experience instead of writing it, please indicate that here.

Please check off ALL activities you are willing to participate in. If there is something else, please check "Other" and describe below.

Event planning for adoption events, fundraising events, and other charitable activities	Graphic design for brochures, branding, and materials distributed to the public.
Fund raising - planning & running events.	Solicit sponsors for fundraising events.
Solicit baskets for tricky tray events.	Processing applications
Processing Adoption contracts	Writing/sending correspondence such as thank you notes
Photocopying	Photography/video production
Transportation of dogs to/from transports, adoption events, vet appointments, etc.	Marketing activities for the rescue
Seek Grants for animal rescue & welfare	Write Grants
Setup/breakdown at adoption events	Engaging with people
Returning phone calls	Other

Other activities of interest, not listed above.

Do you want to volunteer regularly or occasionally?

Occassionally

Regularly

Please specify how many hours per week or per month you think you could volunteer. Specify hours AND week or month. Examples: 4 week, 10 month.*

*=required

PET Information - Current, past, & re-homed

List CURRENT PETS: 1) Name of pet; 2) Type; 3) Breed; 4) Current age; 5) How long have you had pet; 6) spayed/neutered?; 7) Up to date on vaccinations? If you currently do not have a pet, please enter "NONE"*

List animal hospital/clinic where your CURRENT animals receive / received care. Provide name of hospital, phone number, and last name (if different from applicant's last name) associated with pet. PHONE VET AND LET THEM KNOW WE WILL BE CALLING

If you do not CURRENTLY have a dog, please list any dogs you may have had in the last 10 years. List: 1) Name, 2) Breed, 3) How long with you, 4) What happened to dog

List animal hospital.clinic where your PAST animals received care. Provide name of hospital, phone number, and last name associated with pet (if different from applicant's last name). PHONE VET AND LET THEM KNOW WE WILL BE CALLING

Have you ever re-homed a pet or returned one to a shelter/rescue? If yes, please provide detailed circumstances including name of pet, type of pet, reason for re-homing/return, and how long did you have the pet. If you have never re-homed/returned a cat/dog, enter "NA"*

*=required

PERSONAL REFERENCES - Provide 2 references, ONLY ONE of which can be a family member

Reference #1: First & Last Name*

REF #1: Town & State*

REF#1: Relationship, check all that apply

Father/mother	Sibling
Daughter/Son	Other family member
Boyfriend/girlfriend	Friend
Neighbor	Co-worker
Boss	Employee
Other

REF#1: Phone number (please enter with dashes, e.g. 123-555-1234)*

REFERENCE #2: Name*

REF#2: Town, state*

REF#2: Phone number (please enter with dashes, e.g. 123-555-1234)*

REF#2: Relationship, check all that apply

Father/mother	Sibling
Daughter/Son	Other family member
Boyfriend/girlfriend	Friend
Neighbor	Co-worker
Boss	Employee
Other

*=required

NSPR policy and signature

By entering my complete and legal name and clicking on the submit button below: 1 - I hereby give permission to NorthStar Pet Rescue to contact my veterinarian to obtain information about past and present pets. 2 - I also confirm I am 18 years of age or older and authorize the rescue to verify the above information. 3 - NorthStar Pet Rescue shall not be held responsible for any damages, costs, or expense resulting from this placement; including, but not limited to, damage or injury to persons property. In this connection, NorthStar Pet Rescue is harmless from any and all liability of any and every nature and cause, directly and indirectly relating to the interaction of any dog. Have you read above terms*

In filling out the application electronically, entering your name below substitutes for a signature. By entering your complete and legal name, you are agreeing to abide by the requirements set in the previous questions.*

Enter your complete and legal signature*

*=required