First Name:
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Last Name:
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Email Address:
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Date of Birth (All volunteers must be at least 18 years of age)
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Have you been convicted of any offenses against animals?
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Yes
No
If yes, please explain:
Have you been convicted of any other misdemeanor of felony offenses (this will not automatically disqualify you from volunteering with Ruff Haven.)
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Yes
No
If Yes please explain:
Street Address
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City:
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State:
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Zip:
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Phone Number:
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Employer/Job Title:
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Allergies or physical restrictions:
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How did you hear about Ruff Haven Crisis Sheltering?
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Which volunteer position are you interested in?
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Why do you want to volunteer at Ruff Haven Crisis Sheltering?
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Do you work or volunteer with any other non-profit organizations?
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Yes
No
If so, which ones?
Please list any pets you currently own (or have owned in the past).
Animal Experience: (check all that apply)
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Boarding Facility
Shelter Work
Animal Rescue
Foster Home
Dog Grooming
Cat Grooming
Training/Obedience
Pet Sitting
Veterinary Hospital
Farm Animals
Other
None
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Other Experience, Special Skills, Strengths, Talents: (check all that apply)
Computers/Technology
Events
Social Media
Photography
Writing
Fundraising
Public Speaking
Other
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Volunteer Work Preferences: (check all that apply)
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Facility Cleaning
Pet Transport
Dog Care
Cat Care
Pet profiles/Owner Updates
Computer/Data Entry
Special Events
Community Outreach
Other
If you are interested in transporting pets to and from appointments do you have a valid drivers license and car insurance?
Yes
No
When are you available to volunteer? (check all that apply)
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Weekdays (daytime)
Weekdays (evening)
Weekends
Would you be willing to volunteer off the shelter premises?
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Yes
No
Reference #1 (Name, phone # and relationship to self)
*
How did you hear about us?
*
In case of emergency, who should we contact? (name and phone #)
*
By writing your name here, you are agreeing to the above liability waiver.
*
Anything else you would like to say, please note it here:
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