ICAN - VOLUNTEER ONLINE AP

ONLINE VOLUNTEER APPLICATION:

DIRECTIONS: Please type your responses in the spaces provided. Fill out the form completely. You will be unable to submit it if the required questions are unanswered.

Please call (317) 250-6450 ext. 10 or email
with any questions or concerns throughout the application process.

Questions with * are required.

I. INFORMATION:

* First Name: * Last Name:

* Street Address:

* City: * State: * Zip:

* Home Phone:

Work Phone:

* Email:

* What motivated you to become a volunteer for ICAN, Inc?

* Describe your experience with dogs. (amount of exposure and training approaches etc.)

* How many people live in your house?

* Children? Yes No

ages:

* How many pets do you own?
types/ages:

* Fenced Yard? Yes No

II. PERSONAL REFERENCE:
Please provide the name, address, phone number and email (if possible) of a person who is not related to you but who knows you fairly well.

Reference 1:
* Name:
* Home Phone:
* Address:

* III. Please check any areas you think you may want to help out with:

Grant Writing
Fundraising
Booth Staffing
Newsletter Development
Dog Toy Making
Volunteer Coordination
School Reading Programs
Speaking to Groups about Program
Seeking in-kind support
Furlough Volunteer
Pup Starter

IV. RELEASE :

* As a volunteer for the ICAN, Inc. program I give ICAN, Inc. permission to contact my reference for information. I also understand that neither ICAN, Inc. nor any of its prison facilities are responsible for any incidental damage or injury which may occur to any person or property during my volunteer work with the program. If any person, including me, is injured or any property, including my own, is damaged, I will not hold ICAN, Inc. liable now or will I make a claim against ICAN, Inc. in the future.