First Name *

Last Name *

Preferred Name *

Email *

Phone *

Birthday *

Address Line 1

Address Line 2

City

State/Province 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 American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip/Postal Code

Employer / Company Name

Job Title

Are you volunteering for court ordered community service (Recovery Monitoring Solutions / Forge Evolution / etc) or Employment First (for SNAP EBT)? * Yes No

Who is your community service provider? Forge Evolution (Teen Court) Recovery Monitoring Solutions Employment First Other

How did you hear about ABRT?

How would you like to make a difference with ABRT? *

What skills do you have (and want) to share?

Which volunteer positions are you interested in?

Do you have your own transportation?

What kind of computer* do you have? Windows Mac Some flavor of Linux All of the above I don't know but it turns on

Any comments about the technology you have available to utilize or your technology skillset in general?

What experience do you have with dogs?

How much time per week can you volunteer? 1-4 Hours 5-10 Hours 10-20 Hours 20+ Hours Other

If you marked "other," please specify.

Are you looking to volunteer on a regular, scheduled basis?

What are the causes you feel passionately about?

Are you working with a dog rescue or humane organization? If so, when and in what position? If you left why?

What brings you the most joy?

What’s one thing on your lifetime bucket list?

What is a pet peeve of yours from past volunteer experiences(s)?

Would you be willing to work with a buddy or a team? Yes, the more the merrier Yes, but not too many Maybe a buddy, but not a team No go - I run solo

Before you submit your application, please affirm that you understand that an inquiry is not a guarantee that we will be able to assist you with your community service requirements. There are many variables that play into who we allow into our program, and while we would like to help as many individuals on their path as possible, we may deny your application for any reason we see fit. Thank you for your understanding.

🚨 PLEASE MAKE SURE THE "I UNDERSTAND" ABOVE IS SELECTED

Do you have any comments or questions for us?