Date *

MM

DD

YYYY

Full Name *

First Name

Last Name

Spouse

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone *

(###)

###

####

Mobile/ Other Phone

(###)

###

####

What position are you applying for? (Check all that apply)

Events / Adoption Fairs

Fundraising / Online Fundraising

Application/Reference Checks

Home Checks

Meet and Greets

Transports

Dog Handler

Dog Trainer

Groomer

Other

Are you 18 or older?

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Have you ever been convicted of animal abuse or neglect? *

Yes

No

Personal Reference #1

First Name

Last Name

Phone number

(###)

###

####

Personal Reference #2

First Name

Last Name

Phone number

(###)

###

####

Personal Reference #3

First Name

Last Name

Phone number

(###)

###

####

Please check this box. *

By checking this box, I attest that all the information I have provided within this application is complete and accurate. I understand and agree to allow Furry Friends Foster and Rescue Inc. to do a complete criminal background check. I also understand that my criminal background is not necessarily grounds for denial.