Volunteer Application

Contact Information

First Name

Last Name

Age

Street Address

City

ZIP Code

Home Phone

Cell Phone

E-Mail Address

Availability

During which hours are you available for volunteer assignments?

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend mornings

Weekend afternoons

Weekend evenings

Interests

Tell us in which areas you are interested in volunteering

Technology – grant writing, etc.

Events – adoption fairs, etc.

Field work – walking dogs, taking dogs to dog-friendly areas

Fundraising

Deliveries – vet visits, grooming, etc.

Phone bank

Newsletter production

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Person to Notify in Case of Emergency

Name

Street Address

City ST ZIP Code

Home Phone

Work Phone

E-Mail Address

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed)

Signature

Date

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.

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