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RESCUE PROGRAM VOLUNTEER APPLICATION |
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RESCUE PROGRAM VOLUNTEER APPLICATION |
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DATE:_______________________________
NAME OF APPLICANT __________________________________________________________________________
ADDRESS ____________________________________________________________________________________
CITY/TOWN: _____________________________ PROV/STATE: _________ POSTAL/ZIP CODE: _____________
HOME PHONE (______)________________________ BUSINESS PHONE (______)__________________________
FAX PHONE (______)___________________________ CELL PHONE: (______)____________________________
BEST TIME TO CONTACT ME: MORNING [ ] AFTERNOON [ ] EVENING [ ] TIME: ___________
EMAIL ADDRESS ________________________________________
ARE YOU A B.C.O.C. MEMBER? YES [ ] NO [ ]
ARE YOU A MEMBER OF the CKC? YES [ ] NO [ ]
DO YOU OWN A DOG WHICH IS REGISTERED WITH.....
the AKC? YES [ ] NO [ ]
the UKC? YES [ ] NO [ ]
OTHER DOG ORGANIZATIONS/CLUBS? YES [ ] NO [ ]
PLEASE LIST OTHER ORGANIZATIONS/CLUBS ________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
ARE YOU A DOG BREEDER? YES [ ] NO [ ]
ARE YOU A DOG OWNER? YES [ ] NO [ ]
DO YOU OWN OTHER PETS? YES [ ] NO [ ]
IF YES, PLEASE LIST: __________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
ARE ANY OF THESE PETS "NOT" SPAYED/NEUTERED? YES [ ] NO [ ]
IF YES, PLEASE LIST ___________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
HAVE YOU BEEN INVOLVED WITH ANY RESCUE ORGANIZATIONS? YES [ ] NO [ ]
IF YES, WHICH ONE(S) _________________________________________________________________
___________________________________________________________________________________________
I WOULD BE INTERESTED IN VOLUNTEERING TO BE: (Check any which interest you.)
A PROVINCIAL CO-ORDINATOR [ ]
PROVIDING FOSTER CARE [ ]
PROVIDING DOG TRANSPORT [ ]
DOG EVALUATION IN PRIVATE HOMES [ ]
DOG EVALUATION IN SHELTERS/POUNDS [ ]
CONDUCTING HOME VISITS [ ] FOLLOW-UP VISITS [ ]
PROVIDING RESCUE COUNSELING [ ]
DO YOU HAVE ACCESS TO AN AUTOMOBILE? YES [ ] NO [ ]
WHY DO YOU WANT TO VOLUNTEER FOR THE B.C.O.C. RESCUE PROGRAM? _______________________
___________________________________________________________________________________________
___________________________________________________________________________________________
DO YOU CONSIDER YOURSELF AS A TEAM PLAYER? YES [ ] NO [ ]
WHY? _______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
WHY DID YOU CHOOSE THE B.C.O.C. RESCUE POSTIONS LISTED ABOVE? _______________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
COULD YOU MAKE YOURSELF AVAILABLE WHENEVER REQUIRED? YES [ ] NO [ ]
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I CERTIFY THAT ALL THE INFORMATION I HAVE GIVEN ABOVE IS TRUE AND CORRECT.
I AGREE TO FOLLOW ALL THE RULES, PROCEDURES, AND CONSTITUTION OF THE BASENJI CLUB OF CANADA
AND ITS RESCUE PROGRAM.
I WILL NOT HOLD THE BASENJI CLUB OF CANADA, ITS OFFICERS, AND REPRESENTATIVES RESPONSIBLE FOR
ANY DAMAGE, INJURY, OR HARM CAUSED DIRECTLY OR INDIRECTLY TO ANY PERSON OR PROPERTY BY
ANY DOG WHICH I MAY DECIDE TO VOLUNTEER TO HELP.
I AGREE THAT THE BASENJI CLUB OF CANADA, ITS OFFICERS OR REPRESENTATIVES, AT THEIR SOLE
DISCRETION, RESERVE THE RIGHT TO REFUSE ANY APPLICANT FOR ANY REASON OR NO REASON.
By typing my name here, please consider this as my electronic endorsement of the veracity of this application.
SIGNED___________________________________________________________________________
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Instructions re. completing and Emailing the above form: (1.) From the "Edit" drop-down list at the top of your browser (in which you are viewing this form), click on "Select all...." (2.) From the same drop-down list, click "Copy". (This will now copy the form onto your computer's clipboard.) (3.) Open your favourite word processor, such as "MS Word", "Open Office", or "WordPerfect". (4.) Then open a blank document in your word processor. At the top of this word processor program, access "Edit", and click on "Paste". The form now appears in your word processor, and you can complete and edit the form at your leisure. (5.) At any time, this form can now be "Saved As........", using the following file-naming format.... "YOURSURNAME.VolunteerApp". Ensure that it is stored in a convenient location on your computer where it can be found easily and readily used as an Email attachment. (6.) Send an Email to Bob Brewster (the National BCOC Rescue Program Co-ordinator) with the Subject: field containing the phrase "YourSurname.VolunteerApp". (7.) Attach the above saved file to this Email, and then click "Send". (8.) An acknowledging Email will be returned to you when the application is read, processed, and filed. |
