CAC Volunteer Application

Name*

FirstLast
Email Address*
Primary Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different from physical address)

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact:*

First NameLast Name
Emergency Contact Phone Number:*

Area CodePhone Number
Your date of birth:*

MonthDayYear
Date
Employer and job title/position?
Reference:*

First NameLast Name
Reference Phone:*

Area CodePhone Number
Reference Relationship:*
example; spouse, parent, sibling, friend, co-worker, etc.
Do you have any physical limitations that may make volunteering difficult? Please explain.
Do you have any allergies to animals that may pose a problem while volunteering? Please explain.
Positions you are applying for. Check all that apply*

Canine CaregiverFront Desk SupportDog WalkerOutreach EventsFeline CaregiverMaintenanceFundraisingLaundry Support
What days of the week are you available. Check all that apply.*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What hours are you available to volunteer?*
How many hours you can realistically help? Either per week or per month.*
Please describe any volunteer experience you have had in the last 5 years, including name of organization, dates, and activities.
Have you worked with other rescue organizations? If yes, what organization?
Please tell us about any skills/strengths/talents you have that will benefit CAC.
Please tell us about your experience with animals.
Do you require on-the-job supervision from a job coach, mentor, or caregiver?*

YesNo
I am at least 18 years old.*

Yes
Companions Animal Center conducts preliminary screening of volunteer applicants, including review of publicly available safety registries. In some cases, a more comprehensive background check may be conducted as part of the volunteer review process.
I understand a preliminary background check will be done.*

Yes
Have you been convicted of a felony or misdemeanor (excluding minor traffic violations)?*

YesNo
You understand you are required to wear a volunteer t-shirt and they cost $18.*

Yes
Signature*

Use your mouse or mouse pad to sign in the block.
I understand that the behavior of domestic animals is at times unpredictable and that some domestic animals are capable of inflicting property damage, serious personal injury, expenses, and even death while on CAC property or with off-site volunteer activities. I am well aware of the risk of handling domestic animals, and with such understanding, I hereby waive, release and forever discharge CAC and its employees, volunteers, agents, board members, or trainers from any and all claims (whether present or future) arising out of the participation in the Volunteer Program.
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