"Paws & Hearts"......Volunteer Application
A Non-Profit Group
Federal Tax ID # 91-2096569

Instructions for filling out this application:
1) Print out this application on your printer.
2) After printing the application fill in your information.
3) Please include a photograph of your dog. (It will be returned)
4) Please include current vaccine records by either mailing them to
....us or have your vet fax them to us at (760)-836-1426

5) Mail the completed application to: "Paws & Hearts"
xx
74-854 Velie Way, Ste. 7 Palm Desert, CA 92260

Please do not fax or email the application, it must be mailed into the office.
Please tell us about yourself: (Take some time and read over the entire application,
and then answer the questions. We are looking for very special volunteers
and each applicant is considered on many levels.)

Name: ___________________________________________ Date: ________________

Address: ______________________________City/State/Zip: _____________________

Home Phone: (___)____________________Alt. Phone: (_____)___________________

E:Mail :___________________________________________(Please print very clearly)

Days/hours available for volunteer work: ______________________________________

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Please tell us about your other current volunteering:

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Please list your experience (if any) working with animals and/or seniors:

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Do you belong to any service organizations?____________________________________

Do you have any physical limitations/challenges?____________________________

List experience, paid or volunteer, which you think is relevant to volunteering with us:

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Other languages you speak besides English?_____________________________________

If other Paws & Hearts volunteer opportunities come up would you like to be considered?

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In case of emergency contact:

Name: ________________Phone: ________________Relationship:_________________

Statement of Interest: Please provide a detailed statement explaining why you are interested in volunteering at "Paws & Hearts", and what you hope to accomplish in participating in our volunteer program. (Please feel free to write as much as you would like in this section. Use additional paper if required.)

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...Now that you have completed the volunteer application and have attached current vaccination records and a photograph of your dog or cat, we ask you to review the commitments we are seeking and to sign and return the application. Upon review of the application, you will called and a temperament test will be scheduled for you and your animal. Please make sure that your dog or cat has been groomed before your appointment, and most importantly that your dog
has been given a good walk before your appointment.

Commitment(s)

  1. You will give us a minimum of one (1) year volunteer service, visiting each and every week.
  2. You will check in with us after each visit to let us know how the visit went and how many residents/patients you saw.
  3. You will attend our yearly volunteer refresher/training session. In 2013 the meeting is Saturday, Oct. 12th, 2013, 10 am-noon at Joslyn Senior Center, Palm Desert, CA.
  4. You will attend our yearly Dog Walk/Fundraiser, Saturday, November 30th, 2013 at the Westin Mission Hills, Rancho Mirage and help us in raising donations. We will give you lots of fun tips and help at the Oct. 12th, 2013 meeting regarding donations!

Applicant's Signature: ______________________________Date____________________




Placement:
All volunteers and their canine companions will be considered for the program. Please be aware that at any time "Paws & Hearts" has the right to decline a volunteer's participation.

We will endeavor to place each and every volunteer at centers that are located within their immediate neighborhood, but can't guarantee this! Please be assured that you are fully insured while visiting a facility.

If you have questions, please contact:

Richard or "Scruffy" or "Maddie" Waxman at (760) 836-1406 fax (760) 836-1426
E:Mail: pawsandhearts@aol.com

Paws & Hearts 74-854 Velie Way, Ste. 7 Palm Desert, CA 92260
(1 block south of 42nd at Cook)

 
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Paws & Hearts
74-854 Velie Way, Suite 7, Palm Desert, CA 92260
Phone
(760) 836-1406 Fax (760) 836-1426