Clone of 4Keeps Animal Rescue - Volunteer Application

4Keeps Animal Rescue - Volunteer Application (non-foster)
Full Name*

First NameLast Name
Birth Date (you must 18 yrs over older)*

MonthDayYear
Street Address Line 1*
Street Address Line 2
City*
State*
Zipcode*
Phone Number

Area CodePhone Number
Cellphone Number*

Area CodePhone Number
E-mail address*
Best way to contact you:*

home phonecellphoneemail
How did you learn about volunteering with 4Keeps?

websitenewspaper adstudent volunteer programotherfrom a current volunteer, list who below-
If you selected "other", please list where you heard about 4Keeps:
Do you have experience with animals?*

Dogs/PuppiesCats/KittensOther
If you DO have experience, please let us know what experience you have - be specific:*
Is there a particular time/day you can help ?

most weekdays anytimeweekday eveningsweekends anytimeflexible
Please check all activities you are interested in:

Dog walking/kennel care at eventscat / cage care at eventsgreeting at eventsfundraisingmarketinggrant writingevent coordinationtransporting petsother, list below
If you selected "other", please let us know what else you may be interested in helping with:
How far are you willing to travel to help? (we hold events in OH and MI)
Emergency Contacts

Please list two:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cellphone Number

Area CodePhone Number
Relationship
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cellphone Number

Area CodePhone Number
Relationship
4Keeps Animal Rescue

seeks to provide a safe and secure haven for its animal residents. In achieving this goal, 4 Keeps Animal Rescue requires all volunteers to attend an Orientation Seminar and to comply with all its policies and procedures aimed toward maintaining animal health and safety. These policies and procedures are provided in written form to all volunteers.
I understand that I will be required to sign a code of conduct form and complete a limited liability hold harmless agreement before I can volunteer*

yesno
Your typed name serves as your electronic signature:*
Date*

MonthDayYear
Should be Empty:

4Keeps Animal Rescue - Volunteer Application (non-foster)

Emergency Contacts

4Keeps Animal Rescue