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Name:
_____________________________________________________________
Address:___________________________________________________________
Phone Number: (H)_________________
Cell: ____________________________
E-Mail Address:
_____________________________________________________
Emergency Contact:
Name:___________________________
Phone Number: ____________________
Relationship: __________________
Physician Name:
_____________________
Do you have any allergies or
physical conditions that might
affect your volunteer work?
If so, please describe:
__________________________________________________
Employment:
Are you currently employed?
______ Yes ______ No
Place of Employment:
_____________________________ Phone:
_____________
Education:
Are you currently in school?
______Yes ______No
If yes: Name of School:
_______________________ Grade or
Year____________
Would you be interested in
organizing a donation drive at your
school?__________
If so, please provide a contact name
and phone
number_______________________
Areas of Interest:
What volunteer duties are you
interested in? (Please Check All
That Apply)
Petsmart Adoption Day ____ Fund
Raising Events ____ Special
Events______
Foster Care ____ Dog Walker _____
Cat Cuddler ____ Dog/Cat
Transport (To groomer/vet) _____Web
Photographer ____ Under 16 Youth
Volunteer ____ Family volunteer
projects ____ Other:
_____________________________________
Are there any duties that you
would prefer not to perform?
________________________ Do you have
any pets? ___________ What
type and how many?
____________________
Veterinarian Name and Phone Number:
_________________________________
Have you had any formal education in
pet care or animal welfare?
_________________
If so, please describe:
______________________________________________________
Have you done any other volunteer
work?
______________________________________
What days of the week are you
available to volunteer? Please note
specific times.
_______________________________________________________________________
What do you want to achieve while
volunteering at The Animal
Orphanage?
_______________________________________________________________________
Signature
of Applicant:
________________________ Date:
_________________
Signature
of Parent or Guardian*
______________________ Date:
___________
*Volunteers
under the age of 18 must have
parental approval
**Application
Can be e-mailed at
theanimalorphanage@yahoo.com
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