Date

Name

Address

Home Phone

Cell Phone

Work Phone

Please check all areas below that may interest you.

Meet & Greet

Home Visit

Foster Home*
       Check here if you are willing to have a home visit

Coordinate Event(s)

Fundraise

Dog Training
      What level of dog training skills do you possess? (Check one)
             Beg. Obedience Advanced Obedience/CGC Certified Trainer

Pet Sitting

Dog Arrival (bathing, nail trimming, etc.)

GUR* (transport)

GEM Store* - The GEM Store needs people willing to travel with the Store, along with various other tasks.

Computer Skills
Examples

Special Skills/crafts
Examples

Other (please explain)

*Your application will be forwarded to the appropriate Program Coordinator