WCAS Volunteer Application

VOLUNTEER APPLICATION
Name*

First NameLast Name
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.Format: (000) 000-0000.
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
EMPLOYMENT
YesNo
Employer
Job Title
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Employer Contact Name
Employer Contact's phone number
Format: (000) 000-0000.
PETS
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
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?*
YesNo
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
YesNo
If yes, please explain
YesNo
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

Clear
Applicant signature*

Clear
Date

MonthDayYear
Date
Should be Empty: