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Animal Shelter Volunteer Application
Complete this form to apply to become a volunteer at the shelter. Answer all questions truthfully and to the best of your ability.
Applicant's First Name*
Applicant's Last Name*
Email Address*
Phone #*
Use (555) 555-5555 format, please.
Birthday
Provide month and day only, please.
18 or Older*
1. Yes
2. No
Is the applicant 18 years of age or older?
Volunteer's Home Address*
Address Continued
City*
State*
Zip*
Emergency Contact First and Last Name*
Emergency Contact Phone Number*
Emergency Contact Alt. Phone Number
Emergency Contact Email Address
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Volunteer Questionnaire

Volunteer Availability
The shelter offers morning (8:00 a.m. - 12:00 p.m.) and afternoon (12:00 p.m. - 4:00 p.m.) volunteer shifts. The following list indicates shifts of need. Please check the boxes for shifts you are available to volunteer. Check all that apply.
1. Tues. AM
2. Tues. PM
1. Wed. AM
2. Wed. PM
1. Fri. AM
2. Fri. PM
1. Sat. AM
2. Sat. PM
Why are you interested in volunteering with the Orange County Animal Shelter?
How did you hear about our organization?
Do you have any pets? Please tell us about them.
Do you have any allergies or physical conditions which might affect your volunteer work? If so, please describe.
Are you a member of any other animal welfare organization? If so, please provide details.
Do you have any formal training in pet care or animal welfare? If so, please provide details about this training, including when and where it occurred.
Do you have experience dealing with the public? If so, please provide details.
Please describe the type(s) of volunteer work you wish to perform (i.e. laundry, dishes, cleaning, dog walking, animal grooming, yard work, photography, etc.).
What are your thoughts on spaying and neutering animals?
This position will require you to be able to work mostly independently once trained, with some supervision. Do you have any concerns with working independently?
Have you ever been found guilty of any violations pertaining to animal cruelty? If so, please describe.*
Do you have any questions for the Orange County Animal Shelter? Use this space to ask them.
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References

References
Below, please provide contact information for two personal references and one veterinary reference.
Reference 1 Full Name*
Reference 1 Email Address
Reference 1 Phone Number*
Reference 2 Full Name*
Reference 2 Email Address
Reference 2 Phone Number*
Vet. Reference Full Name*
Vet. Reference Email Address
Vet. Reference Phone Number*
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Signatures

Online Signature Confirmation - Applicant*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree
Applicant's Signature*
Date*
Date
Parent or Guardian's First Name
Parent or Guardian's Last Name
Parent or Guardian's Phone #
Parent or Guardian's Email Address
Online Signature Confirmation - Parent or Guardian
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree
Parent or Guardian's Signature (if applicant is younger than 18)
Date
Date

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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