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Volunteer with PGI
Did you want to get involved in PGI? We have many opportunities and would love your help!
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Date / Time
*
Your information
Name
*
First
Last
Are you a:
*
A community volunteer
ISU Trainer
Bradley Trainer
What is your pronoun gender identity? Common pronouns include she/her/hers, he/him/his, and they/them/theirs.
DOB:
Are you over 18 years old?
Email
*
Phone
*
Current Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you own your home?
*
Home owner
Renter
Live in service dog approved campus housing
Bradley university Dorm
Upload a photo of the front, back and inside of your home
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 3 files.
I live in a
*
Single family home
Townhouse
Apartment
Other
Do you have a fenced yard?
*
Yes
No
If you rent do you have permission of your landlord to have a dog on property?
No
Yes
If you rent, please unload proof of landlord approval (via email or direct communication)
Drag & Drop Files,
Choose Files to Upload
Please list all people and ages of who lives in your home.
*
Does anyone in the home have a disability? If yes please explain.
*
Please list all animals and ages that live in your home.
*
My current pets are (check all that apply)
*
Dog friendly
Spayed/ neutered
Up to date on vaccinations
NA- I dont have any pets
How active is your family?
*
Very activie- we have many visitors, chidlren and animals in and out of our home
Somewhat active- we have a few people visit
Quiet- our home does not see many animals, children or other visitors
Where do you plan to keep a dog? (check all that apply)
*
In Family home – loose
In Family home- kennel
In back yard full time or more then 60% of the day
In a garage or kennel setting alone
Vet Name, City and Phone Number
Please upload proof of vaccinations for pets currently in home
Drag & Drop Files,
Choose Files to Upload
If you are a student please list your family home address here:
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
If you are a student, do you have parent approval to have a dog at this address?
Yes
No
Have you ever been convicted of animal cruelty or neglect?
*
Yes
No
Are you over the age of 18 years?
*
yes
no
If no- how old are you?
My interest in PGI
Which programs are you interested in volunteering for? (check all that apply) **Any volunteer who will have the dogs in their home must complete a home check by our staff**
*
General volunteer- unable to have a dog in my home
Puppy Raiser- have a puppy in your home to train 8weeks old- 6/10 months old
Furlough trainer- have a helping paws dog one week per month
Transition trainer- work with our dogs in the community after the helping paws program
Dog/ Puppy Sitter- short term dog sitting if fosters are out of town
PGI volunteer committee
Fundraising
Public Events
Wags for Mags- Bradley
Indy-pendence Service Dogs- ISU
Other
How long are you able to keep a dog for in your home?
*
If other…
Please list any relevant experiences you have that you feel would benefit any of the above programs or events. Include dog training experience and general dog care.
*
What dog behaviors are you NOT willing to work on through with training with a new in your home? (check all that apply)
*
Barking at noises around the home/ yard
Pulling on the leash
Barking in a kennel
Excited behaviors with visitors to the home
Chewing
House training
Fear of new people or things
Car sickness
*** I understand the dogs are in training and I am willing to work on all these behviors with a new dog to my home
How many hours a day would a dog be left alone?
0-2 hours
2-5 hours
6-8 hours
8 -10 hours
10 hours+
How many hours per week would you be able to dedicate to dog training?
*
3 hour or less
3 to 5 hours
5 to 10 hours
10 to 20 hours
20 or more hours
What days of the week are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you available Tuesday nights for trainings?
*
Yes
No
Are you interested in getting certified to handle our service dogs in vest in public settings?
*
Yes
No
Unsure at this time
Are you avilable on Tuesday evenings for training?
*
Yes
No
How did you find out about our organization?
*
Direct mail
Advertisement
Online Search
Friend / Family
Business Colleague
Other
If other…
Please list a personal reference. Name, phone and email.
Disclaimer
Disclaimer
*
By signing this I understand Paws Giving Independence reserves the right to deny any applicant for any reason. I understand Paws Giving Independence does not have to give me a reason for a denial of an animal. In my participation with Paws Giving Independence and Helping Paws I do hereby agree to hold free from any and all liability the Paws Giving Independence/Helping Paws and its members, staff members, trainers, board members, volunteer staff, volunteers and officers. My family, members of my household and myself waive the rights and claims for damages and injuries, which may come from connection and participation with PGI. I declare myself to be physically sound to participate with the PGI. I understand PGI can remove a dog from my home at any time due to failure to fulfill these terms, conditions, policies, and procedures of Paws Giving Independence. I understand any dog that is placed with me through Paws Giving Independence will legally belong to Paws Giving Independence. By listing my vet information I am giving PGI permission to contact them.
Inspection/ Rights of PGI
*
I understand that Paws Giving Independence and the IL Department of Agriculture has the right to come and inspect my home if needed at any time without notice. PGI may also remove a dog at any time for any reason. PGI can remove me as a volunteer at any time for any reason.
Photo Release
I hereby authorize and grant permission to Paws Giving Independence to reproduce my first name (or my child) and/or photographic image, and/or any video footage of me, provided such photograph or video shall have been taken by Paws Giving Independence, or obtained by them either from me or with my consent. I agree that such reproduction may be edited as desired. I consent to the use of my first name, photographic image, video footage and biographical material about me in any promotional materials. I represent that I have the right to enter into the Agreement and that my rights I have granted in this Agreement will not violate any commitment or understanding I have with any other person or entity. I agree to indemnify and hold harmless Paws Giving Independence, its officers, members, executors, assigns, and/or any other parties or entities employed by it in relation to the usage of the aforesaid information against all claims, losses, expenses and liabilities of every kind including reasonable attorney’s fees, arising out of the inaccuracy or breach of any provision of this Agreement. I expressly release Paws Giving Independence, its officers, members, executors, assigns, and/or said other parties or entities from any and all claims arising out of the use of my first name and/or photographic image and/or video footage. This Agreement represents the entire understanding of the parties and shall be permanent unless revoked by me in writing. Should I wish to revoke this agreement, I may do so by writing to Paws Giving Independence at PO BOX 9572, Peoria, IL 61612-9572.
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