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 much time 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? * Submit Home Volunteers Our Program Training Volunteer Policies Volunteer Application
