WCAS Volunteer Application

VOLUNTEER APPLICATION
Name

First NameLast Name
Age 18 or over?
If under age 18, current age
Address

Address

Street Address Line 2

City / State / ZipState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
EMPLOYMENT
Are you currently employed?
Employer
Job Title
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
May we contact your employer for a reference? If yes, please provide contact information below.
Employer Contact Name
Employer Contact's phone number
Format: (000) 000-0000.
PETS
Please select one of the following
Tell us about your pets (past and present)
If you have pets, who is your veterinarian?
Name
Phone
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

City / State / Zip Code

Zip Code

VOLUNTEER EXPERIENCE
Why do you want to volunteer for WCAS?
Do you work/have you worked with any other animal rescue organizations?
If so, please provide contact information:
Organization
Contact Person
Contact Phone
Format: (000) 000-0000.
Please describe your animal-related experience (paid or volunteer):
Shelter:
Veterinary hospital/clinic
Boarding facility
Foster home
Grooming
Training
Pet sitting
Farm animals
Other (describe)
Please describe any other skills:
Computer
Fundraising/promotion
Public speaking
Writing
Photography
Graphic Art
Woodwork/carpentry
Painting
Maintenance
Other (describe)

BACKGROUND CHECK
Have you been convicted of a crime?
If yes, please explain
Do you agree to undergo a background check if requested?
Any general comments you would like to add?

REFERENCES
Reference 1 Name
Relationship
Reference 1 Phone
Format: (000) 000-0000.
Reference 2 Name
Relationship
Reference 2 Phone
Format: (000) 000-0000.
Reference 3 Name
Relationship
Reference 3 Phone
Format: (000) 000-0000.
EMERGENCY CONTACT INFORMATION
Emergency Contact Name
Relationship
Emergency Contact Phone
Format: (000) 000-0000.
Parent/guardian signature (for applicants under age 18):
Parent/Guardian Name
Parent/Guardian Phone
Format: (000) 000-0000.
Parent/Guardian Signature
Applicant signature
Date

MonthDayYear
Date
Should be Empty: