Survey - Partners for Pets Application

*1.

Question - Required - Group Contact First Name

*2.

Question - Required - Group Contact Last Name

*3.

Question - Required - Group Contact Email

(Maximum response 255 chars, approx. 5 rows of text)

*4.

Question - Required - Group Contact Telephone Number

*5.

Question - Required - Organization, team, or group looking to participate in a volunteer activity at HRA

(Maximum response 255 chars, approx. 5 rows of text)

*6.

Question - Required - What is your affiliation with the group?

(Maximum response 255 chars, approx. 5 rows of text)

7.

Question - Not Required - Group Contact Title

(Maximum response 255 chars, approx. 5 rows of text)

*8.

Question - Required - Approximate number of people in the group

*9.

Question - Required - Partners for Pets volunteer shifts require a minimum contribution of $2,000. Groups with up to 30 staff must commit to a $2,000 donation. Groups with 31-50 staff must commit to a $3,500 contribution. This contribution will help support HRA's many programs that serve the animals and people of our community. Are you able to commit to the minimum contribution required for your group?

*10.

Question - Required - Please provide your preferred date range or at least two preferred dates for volunteer activity.

(Maximum response 255 chars, approx. 5 rows of text)

*11.

Question - Required - Preferred day of the week for volunteer activity:

*12.

Question - Required - Why does your group want to partner with us?

(Maximum response 255 chars, approx. 5 rows of text)

*13.

Question - Required - What are your goals in volunteering as a group?
Please make at least 1 selection from the choices below.

	Team building
	Employee engagement
	Giving back to the community
	Learning more about HRA/animal welfare
	Exploring the possibility of a long-term partnership

*14.

Question - Required - By submitting this application you are confirming that you have read and understand the following: *I confirm that all volunteer group participants will be over the age of 15. *I understand that HRA must receive our gift before the day of the volunteer activity. *I understand all participants are required to sign releases of liability before participating on the day of the event.