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"
....74-854 Velie Way, Ste. 7 Palm Desert, CA
92260
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: ______________________________________
_____________________________________________________________________
Please tell us about
your other current volunteering:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Please list your experience (if any) working with animals and/or seniors:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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:
______________________________________________________________________
If other Paws & Hearts volunteer opportunities come up would you like to be considered?
_______________________________________________________________________
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.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
...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)
- You will give us a minimum of one (1) year volunteer service, visiting each and every week.
- You will check in with us after each visit to let us know how the visit went and how many residents/patients you saw.
- You will attend our yearly volunteer refresher/training session. In 2008 the meeting is Saturday, Oct. 11, 2008, 10 am-noon at Jocelyn Senior Center, Palm Desert, CA.
- You will attend our yearly
Dog Walk, Saturday December 6th, 2008 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.
11th, 2008 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, "Lucky or Srcuffy" 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)
... Home / Mission / How you can help / Benefits of Pet Therapy / Events / News
74-854 Velie Way, Suite 7, Palm Desert, CA 92260
Phone (760) 836-1406 Fax (760) 836-1426
