Thank you for your interest in helping Greyhound Pets of America/ California- -Orange County & Greater Los Angeles. We have many special needs and we know that everyone has something unique to contribute. Please be specific when completing this form. The information will help us determine who to contact when needs arise. Feel free to check any item that applies to you. We welcome new ideas, so attach your suggestions. NOTE: you will need to print this file before you can fill out the application.

Date:_____________________

Name(s): __________________________________________________________ ________

Address: __________________________________________________________ _________

City: _____________________________________ State: __________ Zip: _____________

Home phone: _______________________ Work phone: _____________________________

Best time to call you: Home: __________ Work: ___________ ___ Don't call me at work

What are the earliest and latest times that you may be contacted: Weekday: __________________ Weekend:____________________

What type of work are you willing to do for GPA?

• __ Distribute brochures to offices and businesses
• __ Telephone solicitation
• __ Foster home for a greyhound
• __ Telephone/Phone Tree
• __ Do "Show & Tell" events w/my greyhound
• __ Fund raising
• __ Data entry (must have computer)
• __ Stuffing envelopes
• __ Attend events & distribute GPA info
• __ Collecting donations
• __ Other (please be specific): _______________________________________

• __ Specialized skills/hobbies: _______________________________________

• __ Transporting dogs (to/from farm or track)
  • __ Driver
  • __ Passenger/helper
  • __ Local or longer distance
  • __ If willing to drive, can your vehicle be used to move dogs?
  • How many dogs can you transport at one time (estimate)? _________
  • What type of vehicle do you own?____________________