Canine Companions Volunteer Application

Name

Prefix

First Name

Individual name only for each form.

Last Name

Suffix

Legal First Name (if different)

Personal Pronouns

He/Him/HisShe/Her/HersThey/Them/TheirsPrefer not to answer

Email

Email

Secondary Email

Phone

Home Phone

10 digit format with hyphens

Work Phone

10 digit format with hyphens

Mobile Phone

10 digit format with hyphens

Please choose your preferred phone contact:

How would you prefer we contact you?

EmailPhone

Address

Street Address

City

County

State

Zip Code

5 digits only

Gender

Birthdate

MM/DD/YYYY

Name of Employer

Emergency Contact

Name

Phone

10 digit format with hyphens

Relationship

I am interested in one or more of the following:

Scroll down for more. Hold the CTRL key to select more than one.

Additional Information about Puppy Raising

Volunteer puppy raisers care for, train and socialize our puppies from eight weeks of age until professional training at about 18 months of age. During this time, we ask you attend puppy classes, provide socialization opportunities both inside and outside the home and feed a diet as directed by Canine Companions.

Please review Puppy Raising Program Information here.

Please see our Puppy Raiser FAQs here.

I acknowledge that I have read the information in the above links.

I wish to request an application to become a Puppy Raiser

Additional Information about becoming a Breeder Caretaker

Only available within proximity to our headquarters in Northern California.

Provide care for adult male or adult female breeder dog throughout their Canine Companions breeding career. Breeder dogs are Labrador retrievers, golden retrievers, and crosses of the two breeds. Once the breeder dog retires, the breeder caretaker has the option to adopt the retired breeder dog.

To learn more about the Breeder Caretaker program, please view the video below:

I acknowledge that I have viewed the above video.

I wish to request an application to become a Breeder Caretaker.

Additional Training Center Information

Several opportunities such as dog bathing, dog walking, administrative/clerical support, and more.

SMS Opt-In

May we send event reminders to your mobile phone? (carrier charges may apply)

Yes, you may text me

2024 Terms and Conditions

Please click on this link below to read the Terms and Conditions in our 2024 Volunteer Agreement:

https://www.cci.org/volunteer-agreement/

I acknowledge that I have read the Canine Companions for Independence® Volunteer Agreement and by submitting this application I voluntarily agree to those terms.