Website Maintained by Website to the Rescue
Harley's Hope Foundation   ©   2010 - 2020   •  All Rights Reserved
Full Name
Address
City, State, Zip
Home Phone
Cell Phone
Email Address
Employer
Work Phone
Emergency Contact (Name)
Emergency Contact (Phone)
Relationship to You
Birthday
Age (Must be over 18)
Do you have a valid drivers license? Yes    No
Driver's License #
Do you have a car? Yes    No
If Yes, please list make/model/year
If Yes, do you carry liability insurance? Yes    No
How did you hear about Harley's Hope Foundation?
How many hours per week/month are you available?   Per Week or    Per Month
Do you have any special skills or talents to offer, i.e., graphic design, photography, construction, veterinary technician training?
Why are you interested in volunteering with Harley's Hope Foundation?

Please check your top two areas of interest based on the following list of activities:

  Telephone and/or computer research for animal care resource manual/pet safety webpage

  Community events (Territory Days, SpringSpree, Festival of Lights Parade, etc.)

  Fundraising activities (grant writing, direct mail design, special events, other)

  Write and/or edit e-newsletter (Constant Contact experience needed)

  Deliver pet food to senior/disabled clients (must undergo a background check)

  Pick up donated pet food using your own vehicle (must have liability insurance)

  Temporary foster care for pets of senior/disabled clients in hospital (must be willing to undergo a home check)

  Transport pets of senior/disabled clients to veterinary appointments (must be willing to undergo a background check)

  Train to answer client calls and process requests for assistance (vacation coverage for executive director)

  Take photos of client pets for use on Internet, Facebook and other marketing materials

  Design promotional materials (please list your design software) 

  Other:

Statement of Release of Liability:  By submitting this application, I agree not to hold Harley's Hope Foundation responsible in the case of any injuries/accidents that may occur while volunteering on their behalf.

FORM VALIDATION (Helps reduce spam)

How many dogs do you see in the image below?