PERSONAL INFORMATION
Date: ___________________
Name: ____________________________________ Are you over 18? ___________
Present Address: _______________________________________________________
City, State & Zip: ______________________________________________________
Phone Numbers: Home: ____________________ Work: _____________________
1) Please describe your reasons for wanting to volunteer at Pets In Need:
________________________________________________________________________
________________________________________________________________________
2) Do you have any previous experience working with animals?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3) Please list any other experiences, paid or volunteer, that you think are relevant to volunteering at Pets In Need:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4) Do you have any learning, physical, or mental limitations or challenges that could affect your volunteer work here?
________________________________________________________________________
5) Can you make a one year commitment to volunteering at PIN? ________________
6) Where did you hear about our volunteer program? __________________________
PERSONAL / PROFESSIONAL REFERENCES
Please list 2 responsible people who have known you for several years, but are not related to you.
1) Name: _________________________ Phone Number: _______________________
Years Known: ___________________ Relationship: _________________________
2) Name: _________________________ Phone Number: _______________________
Years Known: ___________________ Relationship: _________________________
AREAS OF INTEREST (Please refer to Job Descriptions)
_____ MatchMaker _____ Kitten Rescue Volunteer
_____ Dog Walker _____ Foster Parent
_____ Dog Trainer _____ Paws & Hearts (AAT)
_____ Cat Care Volunteer _____ Humane Education
_____ Kitty Kuddler _____ Office Volunteer
_____ Special Events _____ Staffing Information Booths at Events
AVAILABILITY
Mon _____ Hours __________ Thu _____ Hours __________
Tue _____ Hours __________ Fri _____ Hours __________
Wed _____ Hours __________ Sat _____ Hours __________
Sun _____ Hours __________
In Case of Emergency Contact:
Name: __________________________________________________________________
Phone Numbers: Home: ______________________ Work: _______________________
Relationship: _____________________________________________________________
Your signature below also indicates that you are over the age of 18.
Welcome to Pets in Need and thank you for your upcoming service to the animals.
Dated:______________ Volunteer: ________________________________Print name: ________________________________