Name: ________________________________________ Age:______________
 Address:___________________________________________________________
Phone Number: (H)_________________ Cell: ____________________________
   E-Mail Address: _____________________________________________________

Emergency Contact: 
Name:___________________________ Phone Number: ____________________ 
Relationship: __________________ Physician Name: _____________________
 Do you have any allergies or physical conditions that might affect your volunteer work?
If so, please describe: __________________________________________________

 Employment:
 Are you currently employed? (check one) ______ Yes ______ No
Place of Employment: _____________________________ Phone: _____________

Education:
 Are you currently in school? ______Yes ______No
 If yes: Name of School: _______________________ Grade or Year____________
Would you be interested in organizing a donation drive at your school?__________
If so, please provide a contact name and phone number_______________________

Areas of Interest:
 What volunteer duties are you interested in? (Please Check All That Apply) 
 Fund Raising Events  ____ Special Events______ Foster Care ____ 
Dog Walker _____ Cat Cuddler  ___ Dog/Cat Transport (To groomer/vet) _____
Pet Detective____ Follow-Up'er ____ Cleaner ____ Matchmaker____
Other: _____________________________________

 Are there any duties that you would prefer not to perform? ________________________ 
Do you have any pets? ___________ What type and how many? ____________________
Veterinarian Name and Phone Number: _________________________________
Have you had any formal education in pet care or animal welfare? _________________
If so, please describe: ______________________________________________________ 
Have you done any other volunteer work? ______________________________________
What do you want to achieve while volunteering at Almost Home Animal Shelter? ________________________________________________________________________ 

What days are you available to volunteer? Please circle all applicable times:

Signature of Applicant: ________________________ Date: _________________

Signature of Parent or Guardian* ______________________ Date: ___________

 *Volunteers under the age of 18 must have parental approval

Please print offline, fill out completely, and then drop off all applications at the shelter so that the staff can meet you and you can become better acquainted with our facility.