Volunteer/Foster Application

Volunteer/Foster Application
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail
Emergency Contact *

Area Code Phone Number
Are you 18 years or older? *

Yes No
Driver's License Number
How many live in your home? *
Please list the ages of children in your home:
Please list any special medical needs you have:
Do you have medical and accident insurance? *

Yes No
Have you had a tetanus shot in the last 5 - 10 years? *

Yes No Do not know
Have you been convicted of any crimes? *

Yes No
Which social media sites do you use? *
Please remember you represent A Critter’s Chance in all you do. Therefore, your conduct and behavior matter, even when not volunteering.
Please list the animals you currently have in your care: *
Which species are you interested in working with? *
Please list other rescue groups you've worked with, how long you've worked with them, and your responsibilities:
What days/hours are you available? *
Are you willing to work or run a committee? *

Yes No Not Sure
Why do you wish to join A Critter's Chance? *
Thank you for your interest in A Critter's Chance!
Should be Empty: