Volunteer Application Volunteer Application Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home No.:Mobile No.:Best Time to Call:Are you over age 18?*YesNoPlease check the areas that interest you. Also please let us know of any special skills you have to offer by using the “Other” field.Foster (http://bluegrassdobermanrescue.org/foster/)TransportEvent/Pet FairsFundraisingTrainingAdministrative workHome VisitHow did you hear about Bluegrass Doberman Rescue?Family/FriendFacebookTwitterSearch EngineEvent/Pet FairWhy do you wish to volunteer for Bluegrass Doberman Rescue?Do you have Dobermans of your own?*YesNoIf Yes, how many & what ages?Are you or have you been involved in other rescue efforts?*YesNoIf yes, what were/are they?Are you currently employed?Employed Full-TimeEmployed Part-TimeSelf-employedNot employedHomemakerRetiredStudentPrefer Not to AnswerDo you have your own transportation?YesNoWhich days/times would generally be best for you to volunteer?Please give us the names, phone number, and relationship of at least two references that we may contact (neighbors, trainers, vet, breeders, etc. No family members, please.)*What would you consider your dog handling experience level?NoneBeginnerIntermediateAdvancedDo you currently own any dogs? If yes, tell us a little about them.Would you be interested in taking a designated dog to obedience training class?YesNoHow far are you able to drive from your home?10 miles25 miles50 miles100+ milesWhich days will be best for you to transport? Sunday Monday Tuesday Wednesday Thursday Friday Saturday How many days out of a month can you transport?Can you provide a dog with an overnight stay if necessary?YesNoCan you help with home visits?YesNoWould you like to organize a local fundraiser?YesNoAdditional experience, comments, questions, or anything to add?