Standard Volunteer Application

First name:
Last name:
E-mail:
Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
Mobile Phone:
Birth-date:
Occupation:
Education:
8
9
10
11
12
BS/BA

Age Group:
Under 14
14-17
18-36
37-60
Over 60

How did you find out about our Volunteer Program?




Please tell us briefly why you would like to become a volunteer?




Do you have any prior experience as a volunteer? If yes, for what organization? What were your duties?




Have you had any formal education in companion animal care or animal welfare?




What companion animals do you have now?



in the past?




Do you have any special skills that would be beneficial to the shelter?




Do you have any physical, medical or psychological limitations or disabilities? (i.e. heart condition, mental illness, allergies, back injuries, epilepsy, etc.) If yes, please describe:




Please indicate the days of the week and hours that you are available. Volunteers are usually needed between the hours of 8:00 a.m. & 6:00 p.m. Monday - Saturday.


Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

When will you be ready to begin volunteering?