CCF-V-001

Companion Care Foundation – CARE for Pets program

Registration of Interest in Volunteering

CARE for Pets Mission:

To assist with practical short-term pet care solutions if a person who lives alone is to be admitted to hospital.

  1. Name:
  1. Address:
  1. Telephone:
  1. Email:
  1. Do you have any known allergies to Dogs / Cats / Birds - No /Yes
  1. Volunteer positions within our organisation include the following. (Please highlight or otherwise indicate those that interest you and for which you have skills or enthusiasm):

Retail shop assistant

Administration – Such as: Data entry; Telephone answering etc.

Foster Carer/s: Volunteer housespet/s in their own home from 1 – 8 weeks

Emergency Foster Care: Volunteer may be asked to care for a dog on short notice for 1 to 7 days until other arrangements can be made.

Hospital visitor / driver: Collects and transports dogs so must have suitable vehicle and the ability to manage various dog breeds - deals with client/patients

Specialised fields: Media & promotion; IT; Photography; Fund – Raising (planning and conducting fund-raising events)

Client/Patient Liaison

  1. How did you learn about the CARE for Pets program?
  1. What has attracted you to our organisation?
  1. What motivates you to volunteer?
  1. What other volunteering have you done?

Name of organisation (s)

Duration of volunteering (with each)

  1. Employment - Do you have full or part-time paid employment?

Current Employer’s name and contact details:

  1. How much time are you prepared to spend volunteering (hours per week or month / daytime, evening weekends?)
  1. Are you able to commit to a regular roster?
  1. Do you have any restrictions on your participation?

Transport?

Mobility?

Irregular work roster?

Family or carer duties?

Other?

  1. References

Business Reference:

Referee Name: Contact number:

Personal Reference:

Referee Name: Contact number:

  1. Pet Related Experience

Have you ever - or do you now - work in a pet related industry?

Do you have experience in Dog handling?

Do you have experience in Obedience or other training?

Do you have special training or skills with animals (e.g. behavioural trainer; vet nurse)?

Details (in brief):

  1. Do you hold a current Driver’s Licence?
  1. Submit - By submitting this Registration of Interest:

I . . . . . (insert your name)

Acknowledge that Volunteer roles with Companion Care Foundation & the CARE for Pets program require a National Criminal Check (Police check).

Understand that Companion Care Foundation reserves the right to refuse any applicant.

  1. Date submitted

This form can be completed online and emailed to

Or itmay be posted to P.O. Box 5076 Kahibah NSW 2290

Enquiries: 0416 962 273

You are welcome to include your Curriculum Vitae but it’s not essential.

Important NB:

After we receive your completed Registration of Interest form you will be invited to attend for an interview at 39 Main Road Boolaroo office (and shop).

  • You will be required to apply for a WWCC (Working With Children Check) in the area of Disability – a free check
  • Volunteers who join our organisation are required to apply for a National Criminal Check (Police check) details will be offered how to apply.

Office use only

Interview date:Interviewer: