Midwest Boston Terrier Rescue

Volunteer Application

If you are interested in becoming a Midwest Volunteer
please fill out our volunteer application and send to:


(You can copy and paste the form below into your email to fill out and send.)
Thank you for your interest!

Your full name: ___________________________________________________________

Your email address: ______________________________________

Your phone number (with area code): _________________________________________

Home Address: __________________________________________________________

City: ________________________ State:_______ Zip Code: __________

Why would you like to become a MWBTR Volunteer?

Do you have pets of your own?

If so please tell us about your pets (type/breed, sex, age of each):
(ie. Oscar, Dog/Boston Terrier, Male/3 years old)

Areas of interest: (Put an "x" next to areas you are interested in)
Home Visits
Phone Calls
Transport Dogs
Shelter Pulls

Please list two references we may contact:
Please include Name, Relationship, Phone, Best time to call.
(ie. Mary Smith, Friend, 419-333-3333, after 5pm)

I attest that the information provided on this application is true
and accurate to the best of my knowledge.

Electrontically signed by


Again MWBTR thanks you for your interest. Please allow us 3 - 5 days to contact you. Thanks! :-)

Volunteer Help is needed in Virginia!
If you live in Virginia and could open your hearts to help a Boston in need
please send your Volunteer Application to:

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