Volunteer Application (16 & Older)

* indicates a required field

Last Name *

 
First Name *

 
Birth Date *

 
Age *

 
Address *

 
City *

 
State *

 
Zip Code *

 
Email *

 
Phone Number*

 
Occupation *

 
Emergency Contact & Relationship *

 
Emergency Contact Phone *

 
Why are you interested in becoming a volunteer?

 
Describe any previous experience working with animals *

 
List present and previous volunteer jobs *

 
List additional information that may be useful (hobbies, interests, special skills, training, etc.) *

 
Have you ever been convicted of Animal Cruelty, Theft, Sexual Offense, or Drug/Alcohol Abuse (Please indicate Yes or No) *
YesNo
 
If Yes, please add any additional information:

Select all areas of volunteer interest *
Humane Education Initiatives (Animal Camp, Kids Club, Birthday Parties)Foster CareTransporterSpecial EventsAdministrative ProjectsCat SocializationDog Socialization/Dog WalkFido Field TripsClean Up Crew (laundry, dishes, cleaning cat cages, etc.)Shelter MaintenanceShelter LandscapingSmall Critter Socialization
 
Today's Date *