OAW Volunteer Interest Survey

Volunteer Interest Survey

On Angels' Wings Pet Rescue
Please Note: We ask for a minimum commitment of 3 hours per week. Volunteers who work at least 3 hours per week are entitled to a 30% discount at our resale store.
About You
Name

First NameLast Name
Primary Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Primary Email
Best Time to Contact

:HourMinutesAM/PM Option
Primary Address

Street Address

Apt/Unit

CityState

Zip Code
Date of Birth

MonthDayYear
Must be at least 16 years of age to volunteer
Current Employer / School:
Highest Level of Education Achieved:
Medical Limitations / Special Needs?
Explain limitations or special needs
What name do you go by (for your name badge)?
Name or nickname
Have you ever been convicted of a felony?
If yes, please explain

In Case of Emergency, notify:

Rows	Name	Relationship to you	Phone Number
Emergency Contact
Spouse / Partner (If different from emergency contact)

Your Volunteer Preferences (Check All That Apply)
Please describe any special skills you posses which could benefit OAW:
Special Skills or Interests

What hours are you available to volunteer?

Can you commit to a schedule for a 6 month period?
Do you believe in our mission?
Why would you like to volunteer for us?
Please list any previous volunteer experience.
How did you hear about On Angels' Wings?

Other
References:

By listing two personal references (not relatives), you hereby give us permission to call:
(1) Name
Email Address
Relationship to you
Phone Number

Area CodePhone Number
(2) Name
Email Address
Relationship to you
Phone Number

Area CodePhone Number
By listing one professional reference (employer or teacher) you hereby give us permission to call:
(1) Name
Email Address
Relationship to you
Phone Number

Area CodePhone Number
Please use your mouse, stylus, or touch screen device to draw your signature in the box. By e-signing this application I certify that the information contained herein is true, accurate and complete. I understand that any misrepresentation of the above information can result in withdrawal of my application.
If a volunteer is under the age of 18, a parent or legal guardian must sign below, accepting the terms of this agreement.
Should be Empty: