PERSONAL INFORMATION: Name: Age: Spouse/Partner: Age: Address: City: State: Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont ZIP: NERR&R operates in CT, MA, southern ME, NH, RI and VT. If you are outside of this area, please speak with a rescue group in your area. Home Phone: Cell Phone/Pager: E-Mail address: (example: jsmith@aol.com) Please Note: Our first form of contact is by e-mail, if you prefer to be contacted by U.S. Mail, please indicate this in the additional comment box. What Services can you provide to NERR&R, Inc.? Applications Processing Applicant Interview Reference Interview Veterinary Check Home Checks Training Grooming Dog Walking (available in CT only) Photography Staff Educational Booth and Events Transportation - specify distance/area/vehicle Returning Phone Calls Foster Care Fundraising Educational Writing Grant Writing Please list all clubs you belong to: Please list all Humane Societies and rescue organizations you belong to: Do you currently own Rottweilers? Other dogs, cats, pets? Please list names/ages/sex: What activities do you participate in with your Rottweilers? Why are you interested in volunteering with NERR&R? Please list your current employer (address and phone number, please): Please provide the name and phone number of three references (only one may be a family member): Reference 1: Reference 2: Reference 3: How did you hear about North East Rottweiler Rescue & Referral? ----------- Internet Search Referral from Vet Friend Newspaper Previous NERR&R adopter Local shelter or Humane society Other (list below) If selecting newspaper, please indicate which one: Other: Space for additional comments: Applications will not be accepted from anyone under the age of 18 without written permission from their parent or legal guardian. NERR&R reserves the right to investigate the background of all volunteers. By submitting this form, you certify that you have never been convicted of animal cruelty, neglect, or abandonment. I have read NERR&R's philosophy and Policies page and I agree to act in accordance with them while representing NERR&R. Please print NERR&R's Liability Waiver and send it to: NERR&R Inc. PO Box 6456 Portland, ME 04102 Thank you for applying to become a much-valued NERR&R, Inc. volunteer! Click here to click here to
