• Date*
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  • Are you 18 or older? *
  • Have you ever been convicted of animal abuse, cruelty, neglect, or abandonment? Has anyone living in the home, or frequently visiting it, ever been convicted of animal abuse, cruelty, neglect, or abandonment?*
  • Are you able to commit to volunteering at least once a a week?*
  • Which volunteer opportunities are you interested in? (Check all that apply)*

  • Please Acknowledge Code of Conduct by reading and checking off boxes below:*
  • Date*
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  • Should be Empty: