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Volunteer Application
Name:
E-Mail Address:
Date of Birth:
Age:
Home Address:
City:
State:
Zip:
Home Phone:
Occupation:
Employer/Address:
Daytime Phone Number:
Do you have a valid driver's license?
Select One
Yes
No
Do you have access to a vehicle:
Select One
Yes
No
Do you have any allergies, physical or psychological conditions which may affect your volunteer work?
Select One
Yes
No
If yes, please describe:
Are you a member of Animal Lifeline (ALI)?
Select One
Yes
No
Have you adopted from us?
Select One
Yes
No
Are you a member of any other animal welfare organization?
Select One
Yes
No
How do you participate with them?
Are you acquainted with an ALI employee or volunteer?
Select One
Yes
No
Name of Individual:
Name of personal or business reference 1:
Address:
E-mail:
Telephone:
Relationship:
Name of personal or business reference 2:
Address:
E-mail:
Telephone:
Relationship
Have you had any formal education in pet care or animal welfare?
Select One
Yes
No
Where?
When?
Responsibilites?
Education:
Select One
High School
College
Post Graduate
Current Student
Currently a student at?
Much of the volunteer work at ALI involves contact with the general public. What kind of experience do you have in working with the public?
I would like to volunteer in the following area(s):
Direct Animal Care Cats or Dogs:
7days a week, morning or evening shifts available
Select One
Yes
No
Shelter Laundry:
7 days a week-morning shift
Select One
Yes
No
Socializing the animals Cats or Dogs:
Afternoons, Monday - Friday
Select One
Yes
No
Thrift Shop:
Assisting customers, stocking merchandise. Shifts available Tuesday - Saturday. 3304 SW 9th
Select One
Yes
No
Working Informational Tables:
Most events are held on Saturday & Sunday
Select One
Yes
No
Fund Raising Events/Auction:
Various Fund Raising events & Auction
Select One
Yes
No
Baking:
Baking dog biscuits and/or items for Bake Sales
Select One
Yes
No
Please include any additional information about your skills and experience that may assist us in placing you in a volunteer position.
When would you be available to begin your volunteer work?
Please select the days/times you are available:
Monday:
Select One
Morning
Afternoon
Evening
Anytime
Tuesday:
Select One
Morning
Afternoon
Evening
Anytime
Wednesday:
Select One
Morning
Afternoon
Evening
Anytime
Thursday:
Select One
Morning
Afternoon
Evening
Anytime
Friday:
Select One
Morning
Afternoon
Evening
Anytime
Saturday:
Select One
Morning
Afternoon
Evening
Anytime
Sunday:
Select One
Morning
Afternoon
Evening
Anytime
Are you completing your volunteer work for school credit or work experience?
Select One
Yes
No
If you are here through a volunteer program or for school credit/requirement, please complete the following:
Agency Name:
Address:
Name of Contact Person:
Phone:
E-mail address
# of hours you are required to volunteer?
Why do you wish to volunteer at Animal Lifeline?
Do you have any pets?
Select One
Yes
No
If so, please tell us about them:
Is your main interest in cats or dogs?
Select One
Cats
Dogs
What are your thoughts about spaying and neutering animals?
I certify that the information herein is accurate and complete to the best of my knowledge. I consent to having Animal Lifeline check my references. I understand that misrepresentation or omission of facts may make me ineligible for Volunteer Work.
Type Initials.