Volunteer Form


Name:

Are you 18 or older? Yes No

Street Address:

City, State, Zip:

Email Address:

Home Phone:

Work Phone:

Cell Phone:

Do you have a valid driver's license? Yes No

Have you done any other volunteer work? If so, when and where?


Do you have any allergies or conditions that might affect your work? Yes No

Do you have any training or education in pet care? If yes, explain:


Please provide 2 personal references:
Name:
Relationship:
Daytime Phone:
Evening Phone:

Name:
Relationship:
Daytime Phone:
Evening Phone:

Please list a contact in case of emergency:
Name:
Relationship:
Daytime Phone:
Evening Phone:

Area of interest:
Fundraising Grooming/Bathing Walking Animals
Paper/Computer Work Transporting Animals
Playing/Excercising with Animals Cleaning All of the Above

Thank you for your interest in our Shelter. We value our volunteers tremendously!

I certify that the information that I provided is accurate and honest.




GALLERY