Below is a sample of the emails you can expect to receive when signed up to Madonna.
Data Name | Data Type | Options |
---|---|---|
Leave this field blank | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Text Box | ||
Phone | Text Box | |
Home address | Text Box | |
City | Text Box | |
Zipcode | Text Box | |
dropdown | Lincoln Campus | |
option | Are you currently employed? | |
option | Yes | |
option | No Are you retired? | |
option | Yes | |
option | Have you ever been employed by Madonna Rehabilitation Hospitals? | |
option | Yes | |
option | Do you have any family members who are employed by Madonna? | |
option | Yes | |
option | Sex | |
option | Male | |
option | Female Have you began the process to have your dog certified? | |
option | Yes | |
option | Has your dog had any formal obedience training? | |
option | Yes | |
option | Is your dog on regular,mpnthly flea preventive/treatment? | |
option | Yes | |
option | Background Information Please answer the question below as completely as possible. Have you ever been convicted of a felony? | |
option | Yes | |
option | Have your ever been convicted of abusing, neglecting or mistreating individuals or animals? | |
option | Yes |