COMMUNITY SERVICE VOLUNTEER APPLICATION
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:
What is the offense/conviction for which you need community service hours? (We are unable to accept Domestic Violence Offenses, Animal Related Offenses, Sexual or Violent Offenses)
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What is your case number?
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Who is your Probation Officer/Case Manager and what is their contact information?
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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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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?
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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Dog Care
Cat Care
When are you available to volunteer? (check all that apply)
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Weekdays (daytime)
Weekdays (evening)
Weekends
Reference #1 (Name, phone # and relationship to self)
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How did you hear about us?
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In case of emergency, who should we contact? (name and phone #)
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By writing your name here, you are agreeing to the above liability waiver.
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Anything else you would like to say, please note it here:
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