RESCUE FOR LIFE: LABRADOR RETRIEVER RESCUE

VOLUNTEER QUESTIONNAIRE

Print, Complete, sign, return to the Rescue for life: Labrador Retriever Rescue

PO Box 579, Bloomingburg, NY 12721

Date:_________________________________________________________________________________

Name:________________________________________________________________________________

Age/DOB: __________________________________

Street Address: _________________________________________________________________________

Mailing Address:________________________________________________________________________

Town/State/ Zip ____________________________________________  ___________________________

Home Phone: ___________________________ email address:___________________________________

Preferred Method of Contact (circle):   Email     Phone      Home Phone          Work Phone

Are you willing to attend monthly support meeting?____________________________________________

Are you willing to support and promote Rescue for Life: Labrador Retriever Rescue policies and placement procedures?

Describe your personal experience with the Labrador breed:______________________________________

Describe current or past Rescue participation:_________________________________________________

Reference/affiliation/phone:_______________________________________________________________

Reference/affiliation/phone:_______________________________________________________________

Occupation:_______________________________  Work Phone :_________________________________

PLEASE tell us what job you are interested (Circle as many as you like)

Foster Home     Transport a Lab to Rescue       Perform home assessments    Fundraising      

Evaluate labs needing rescue           ID Labs in local shelters       Host public events

Make crafts & fundraising projects       Sponsor a lab

Signature:___________________________________________________ date:_____________________