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Animal Services Volunteer Program
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Animal Services Volunteer
Volunteer Position(s) of Interest (Select all that apply)
*
Volunteer Position(s) of Interest (Select all that apply)
--Select all--
Dogs
Cats
Small Animals
Shelter Support
Customer Service
Animal Transportation
Grooming
First Name
*
Last Name
*
Emergency Contact Full Name and Relationship
*
(if applicant is a minor, must be parent/guardian)
Emergency Contact Phone Number
*
Phone
form field Emergency Contact Phone Number
must be in the format: (000) 000-0000
Address/City/State/Zip Code
*
Pronouns
Phone
*
Phone
form field Phone
must be in the format: (000) 000-0000
Date of Birth
*
Date
form field Date of Birth
must be in the format: MM/dd/yyyy
Email
*
Email
form field Email
is not in correct form
Languages in which you are fluent
Any accommodations needed to volunteer
How did you hear about our volunteer program?
*
Value is not selected
-- Select one --
School
Family Member
Friend
Volunteer
Online
Staff
Length of volunteer time
*
Length of volunteer time
Ongoing: (6+ months and at least 5 hours/month)
Short term: (Less than six months or 30 hours)
Do you have a valid CA driver’s license?
*
Value is not selected
-- Select one --
Yes
No
CA Driver’s License #:
*
Expiration date:
*
Date
form field Expiration date:
must be in the format: MM/dd/yyyy
Do you have auto insurance?
*
Do you have auto insurance?
Yes
No
Have you been on probation or has your driver’s license been suspended or revoked within the last 5 years?
*
Value is not selected
-- Select one --
Yes
No
If yes, please explain:
*
Animal Experience: Please describe any experience working with animals including dog training
*
Volunteer Goals: Gain work experience, school credit, contribute to community, etc.
*
Email Address:
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