Volunteer Application form

Animal Welfare Services DBA Animal Protection & Education is dedicated to helping animals; this includes placing unwanted pets in caring, responsible homes. This questionnaire has been designed to help us determine how best a volunteer can assist our organization.
How did you hear about Animal Protection & Education (A.P.E.)*
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home

Area CodePhone Number
Phone Number - Cellular*

Area CodePhone Number
Are you employed?*
Phone Number - Work

Area CodePhone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that by submitting this form electronically, I agree to release, indemnify, and covenant to hold harmless Animal Welfare Services and any of their programs, and it's members from any claims, damages, costs, or actions incurred while volunteering.

I accept full responsibility for the animal(s) actions at all times, and release Animal Welfare Services from any liabilities or damages that may be incurred because of fostering, caring for, or adopting such animal(s).
Date*

MonthDayYear
Your name*
Signature*

Clear
Date of Birth*

MonthDayYear
Date
Should be Empty: