Phinney's Phriends Career Insights Application

Name(Required)

First Last

Application Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Birth Date(Required)

Age

School(Required)

Current Grade(Required)

Program only open to those in 11th or 12th grade

Career Goals(Required)

Extracurricular and/or Volunteer Activies

Dog Experience(Required)

Please describe your experience with dogs (e.g., dog owner, shelter volunteer, etc.)

I am choosing this program because...(Required)

Please let us know why you are interested in participating in this program

Expectations

Please let us know what you expect to learn from this experience or how you anticipate this program will further your career goals.

Start Date(Required)

Date you are available to begin

Days and Times You're Available:

School Advisor(Required)

Pls. include your advisor's name or point of contact.

Advisor Phone(Required)

Advisor Email(Required)

Transportation(Required)

I have my own car

I will rely on someone else/Uber, etc.

Previous / Current Employers

Please begin with most recent

Company

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Supervisor

Job duties, etc.

Please use this space to describe your job duties as well as your reason for leaving if you've left this job.

Company

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Supervisor

Job duties, etc.

Please use this space to describe your job duties as well as your reason for leaving if you've left this job.

References

Please list at least two personal or professional references.

Reference #1: Name/Relationship(Required)

Please include name and relationship to you (e.g. professor, work supervisor, minister, etc.).

Phone(Required)

Email(Required)

Reference #2: Name/Relationship(Required)

Please include name and relationship to you (e.g. professor, work supervisor, minister, etc.).

Phone(Required)

Email(Required)

Reference #3: Name/Relationship

Please include name and relationship to you (e.g. professor, work supervisor, minister, etc.).

Phone

Please share any additional information you'd like us to know:

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Please list any allergies(Required)

If none, use "N/A"

Read and check(Required)

I have read, understand, and agree to the Terms & Conditions of being a DVGRR volunteer.

I have read and understand DVGRR's position on euthanasia.

I understand that DVGRR cares about volunteers' health and welfare and that DVGRR strongly encourages me to stay up to date on my tetanus booster.

I give my permission to DVGRR to verify the above information. I understand this application does not guarantee acceptance to the DVGRR volunteeer program.

I have read, understand, and agree to DVGRR's Confidentiality Agreement.

I have read and understand DVGRR's Volunteer Handbook.

I understand I may be asked to sign an authorization for a background check.

I have read, understand, and agree to DVGRR's policies regarding photo regulations.

Digital Signature(Required)

Date(Required)

Equal Opportunity Employer / Disclaimer

DVGRR is an equal opportunity employer dedicated to a policy of nondiscrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief or disability that does not prohibit performance of essential job functions. I agree that if DVGRR finds that any of the information I have provided in this application is inaccurate, misleading or incomplete in any respect, I will be disqualified for employment, or if I have already been hired, my employment may be terminated immediately. I authorize DVGRR or its representatives to contact all former employers and personal references, except as noted above, and to further inquire as to any information given by me on this application. I have read and understand the foregoing and am seeking employment with DVGRR under the terms herein. I certify and declare that all of the information I have given is true, correct and complete.

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Previous / Current Employers

References

Equal Opportunity Employer / Disclaimer

Phinney’s Phriends Career Insights Application