Interviewer Application Interviewer Application Name(s) * Date Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code: Home Phone Number * Cell Phone Number Fax Number Email Address * Do you have email access at home? * Yes No Are you computer savvy? * Yes No Do you work full time, part time, or are you retired? * Full time Part time Retired What are your work hours (traditional, afternoons, midnights)? * Traditional Afternoons Midnights When are you available to interview (daytime, nighttime, weekends)? * Daytime Nighttime Weekends How many hours per week can you dedicate towards interviewing? * Have you ever interviewed before (face-to-face, telephone, other)? * Yes No Are you comfortable talking with people regularly and completing vet checks? * Yes No If the situation were to arise, would you be comfortable rejecting an applicant? * Yes No Do you have dog ownership experience? * Yes No Have you adopted a dog from Great Lakes Golden Retriever Rescue or another rescue? * Yes No Why do you want to interview for Great Lakes Golden Retriever Rescue? * How did you hear about Great Lakes Golden Retriever Rescue? * Do you have any other comments or concerns?