First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Cell Phone*
Have you ever volunteered with another animal rescue organization?
If YES, which organizations and what did you do?
Adoption Reps interview potential adopters and help them make the best adoptive matches. Are you comfortable in speaking with the public?
Adoption Reps are asked to pick up at least one shift a month. Are you able to make this commitment?
Please check the Adoption Representative shifts you prefer (check all that apply):
I have no shift preference and will fill in where I can
I agree to the terms of Paw Placement's release of liability as stated below:
Electronic Signature:*