Form

Full Name *

First Name Last Name

Address *

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!

Volunteer/Foster Application