Date * Name * Date of Birth * Home Phone Cell Phone * Work Phone May we call you at work if necessary? Yes No Address * City and Zip Code * State * AL AK AR AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Email * Are you volunteering for court appointed hours? * Yes No List any special skills, education or interests that will be helpful in placing you in our program * What type of volunteer jobs are you interested in? (please check) * Dog Care/ Walking/ Socializing Dog Bathing/ Grooming Cat Care/ Socializing Kennel Cleaning (Cats and or Dogs) Shelter Dog Training Adoption Days Clerical Grant Writing Marketing/ Fundraising Education (Up and Coming) Digital Photography Fun "Run Forrest Run" How many hours per week do you feel you can commit to volunteering? * Are there specific days only that you are available for volunteering? * What pet(s) if any do you currently have or have had? * Please give us one person who we can call for an emergency contact * Please tell us your relationship to this person. Emergency phone number * Any allergies, physical disabilities or other limitations which may restrict your abilities? * Volunteers must be 15 years of age to volunteer. Are you at least 15 years of age? * Yes No Where did you hear about our volunteer program? * If you are human, leave this field blank. Submit Home Volunteers Our Program Training Volunteer Policies Volunteer Application
