Volunteer Application

Note: You may be under 18 to be a volunteer, but parental permission must be provided. Please visit our CPR Teens program website for information on youth participation.

Foster Parent Applicants: You must fill out this application instead.

About You
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
e-Mail:
Date of Birth:
How did you hear about us?
Vet Reference
Full Name:
Street Address:
City:
State:
Zip:
Phone:
How long have you used this vet?
Pet History
Have you had pets in the past?	Yes     No
If you answered yes to the above, complete the remainder of this section. If you answered no, skip to the next section.
What type(s) of pets do you own or have previously owned?
How long have you owned them?
Do you still own them? If no, why not?
Have any of your pets ever been lost, poisoned or hit by a vehicle? Please explain.
Are your current pets spayed or neutered? If no, why not?
Volunteering Information
Why do you want to be a volunteer?
Which do you prefer to work with?	Dog     Cat     No Preference
What day(s) are you available?
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What services can you provide?
Veterinary Transport Interstate Transport Humane Education/School Talks Adoption Days Adoption Publicity Fundraising Event Publicity Event Planning Grooming Obedience Training Microchipping Feral Cat Program Clerical Work/Filing Data Entry Phone Calls
Please list any other services you can provide that are not listed above:
Please describe your experience with pets that you think would make you a good volunteer (include any previous volunteer experience):
Any additional comments or questions may go here, or you may use this space to further answer questions:

 

NOTE

All volunteers are subject to reference checks and interviews before being accepted.