ARPH GV Application

Thursday, September 02, 2010

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ARPH General Volunteer

Rudy3904Chloe4912 If you wish to volunteer to provide assistance for The Aussie Rescue and Placement Helpline, Inc. (ARPH) in areas other than fostering, please complete this application and click the Submit button at the end.

I understand and agree that I am volunteering my time and services to be an ARPH volunteer at no cost to ARPH and I will not be compensated for either my time or services by ARPH. I also understand that I may be removed from this position, subject to ARPH's Rules & Procedures.

ARPH General Volunteer Online Application

NOTE: Please keep your answers brief, with a limit of 500 characters per answer. This application does not cover fostering for ARPH or becoming a Rescue Representative.
*First Name:	*Last Name:
*Address:
*City:	*State:
*Postal Code:	Country:
Mailing Address (if different from above):	Mailing City:
Mailing State:	Mailing Postal Code:
E-mail:

Home Phone:	Business Phone:
Cell Phone:	Fax Number:
Best Time to Call:	Preferred Phone Number:
We encourage our volunteers to become ASCA and/or ASCA affiliate club members. Please download the ASCA Membership Form from the ASCA website, or email the ASCA business office at manager@asca.org. You also may request from ASCA a free packet of information about the Australian Shepherd.

Have you ever owned Australian Shepherds? YesNo
If so, explain your experiences and activities with them:
ARPH is a nationwide rescue organization, we are always in need of volunteers to help keep the program running smoothly and efficiently. Please check all the jobs listed below that you would be interested in helping (select all that apply and BRIEFLY explain your experience in that area):
Fundraising:	Experience:
Bookkeeping:	Experience:
Dog Evaluation in Private Homes:	Experience:
Dog Evaluation in Shelters:	Experience:
Dog Transportation:	Experience:
Behavior Modification:	Experience:
Other Dog Handling Skills:	Experience:
Letter/Bulk Mail:	Experience:
Computer: (e.g. website design and/or programming; desktop publishing; graphic design; database creation/maintenance. etc.):	Experience:
Marketing & Public Relations: (e.g. grant writing; writing, researching and/or publication of educational materials; graphic design; reference checking; application screening; canvassing for donations)	Experience:
Other. Explain Other Areas in Which You Might be of Assistance:

Why have you chosen to become a volunteer for ARPH?
Volunteers work under the direction of a Rescue Representative. Is this agreeable to you? YesNo
For all pets you presently own, give name, age, sex, breed and if spayed/neutered:
List all pets owned in the past 10 years other than those listed above:

REFERENCES
Veterinarian Reference: Please provide the name and address of your current veterinarian
Vet Full Name:	Vet Phone:
Vet Address:
City:	State:	Postal Code:
Personal References: Please provide at two references that have personal knowledge of your care and experience working with dogs:
Personal Reference 1: NO FAMILY MEMBERS, PLEASE!
First Name:	Last Name:
Phone:	Email:
Credentials, if any (such as rescue volunteer or breeder):
Personal Reference 2: NO FAMILY MEMBERS, PLEASE!
First Name:	Last Name:
Phone:	Email:
Credentials, if any (such as rescue volunteer or breeder):

Would you be willing to let one of our Representatives visit your home by appointment?	YesNo
If not, why?

All of the above information I have given is true and complete. I agree to follow all the Rules and Procedures of ARPH. I will not hold ARPH responsible for any damage, injury, or harm caused directly or indirectly to any person or property by any dog I may decide to foster or volunteer my time to help.

ARPH, AT ITS SOLE DISCRETION, RESERVES THE RIGHT TO REFUSE ANY APPLICANT FOR ANY REASON OR NO REASON.

Yes	~ I have read the disclaimer and agree to these terms & conditions
Yes	~ I have also read and understood the Terms of Use and Privacy Statement applicable to this website, to which there are links below
Yes	~ I understand that I will be required to complete a foster home training program that will last a minimum of 3 months

Clicking the SUBMIT APPLICATION button constitutes permission to contact the above named references.