PILOT
Database


PILOT Home Page

Volunteer/Organizational Representative Application
Organizational Application

Database Login (Members Only)


Need to contact someone for assistance? Mail to:
coordinator@pilot4pets.org

Apply to be a PILOT Volunteer/Organizational Representative


Last Name :

First Name:

Please choose a User Name that you will use when you access the PILOT database:

Please provide County:
This will help us match local volunteers to local tasks.

Street Address:

City:
State: Zip Code:
Phone:

Alternate Phone:

Email:
How would you like to help PILOT?
For descriptions see Volunteer Positions
(Select all that apply by holding Shift key)
If you are an organizational representative please make sure that you have added your organization to the database at Organization Application. Please tell us the name of the organization that you are representing.
If you are offering driving services, please acknowledge that you have read our driver policy by "signing" here. Please type your full name.
Please provide information about your availability. This will help case workers match you with appropriate tasks.
Select all that apply by holding Shift key
If you wish to help with transport,
How far/long can you
travel?
Please provide any additional information about your availability:
Are there shelters
rescues or ACOs with which you
are associated?
Please describe any experience that is relevant
If you wish to be a behavioral observer please desribe experience:
Please use 255 characters or less to describe the following
Does you have any veterinary or veterinary technician training?
Describe transportation (ie how many animals can be transported, crates carried etc.)
I want to be added to the yahoo email list that automatically notifies me when a dog is posted on PILOT.
I do not want to be added to the email list.
Please provide a password that you will remember!
I have read the information on Criteria for Participation and believe that I meet the criteria and agree to the conditions.

Have a question for the webmaster or database administrator contact: webadmin@pilot4pets.org
Have a question for the coordinator of the program contact: coordinator@pilot4pets.org