WCAS Volunteer Application

VOLUNTEER APPLICATION
Name*

First NameLast Name
Age 18 or over?*

YesNo
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.
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
EMPLOYMENT
Are you currently employed?*

YesNo
Employer
Job Title
Work Phone Number
Please enter a valid phone number.
May we contact your employer for a reference? If yes, please provide contact information below.

YesNo
Employer Contact Name
Employer Contact's phone number
PETS
Please select one of the following*

I currently have petsI do not current have pets, but have in the pastI have not had any pets (move to the next page)
Tell us about your pets (past and present)
If you have pets, who is your veterinarian?
Name
Phone
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?*

YesNo
If so, please provide contact information:
Organization
Contact Person
Contact Phone
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?*

YesNo
If yes, please explain
Do you agree to undergo a background check if requested?*

YesNo
Any general comments you would like to add?

REFERENCES
Reference 1 Name*
Relationship*
Reference 1 Phone*
Reference 2 Name*
Relationship*
Reference 2 Phone*
Reference 3 Name*
Relationship*
Reference 3 Phone*
EMERGENCY CONTACT INFORMATION
Emergency Contact Name*
Relationship*
Emergency Contact Phone*
Parent/guardian signature (for applicants under age 18):
Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Signature

Clear
Applicant signature*

Clear
Date

MonthDayYear
Date
Should be Empty: