Volunteer Application form

Full Name*

First NameLast Name
Are you over age 18?*

YesNo
Please provide birth date
must be at least 14 years old
E-mail*
Do you check your email daily?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number - Home

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
Do you use texting?

YesNo
Phone Number - Work

Area CodePhone Number
Are you allergic to animals?

YesNo
Please explain
Do you have a driver's license & access to a vehicle?

YesNo
Have you ever been convicted of animal abuse or neglect?*

YesNo
Are you volunteering to fulfill a requirement?*

YesNo
Please explain
Why do you want to volunteer?
Do you have pets of your own?*

YesNo
What kind?*
Days you are available to volunteer

Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AMSaturday PMSunday AMSunday PMAnytimeOther
Volunteer positions you are interested in filling:

Cat/Cage care at Baltimore Pike PetSmart (positions available 7 days)Meet and Greet cats & kittens (weekends only; 2 hour shifts)Provide a foster home for cats &/or kittensFundraising/Special eventsOther
Disclaimer: As a CatNIP volunteer, I am fully aware that I could receive a scratch, bite and/or any
other injury from the animals that I am caring for, or that I could be injured by an accident not related
to the animals. Therefore, I will not hold the CatNIP organization, including CatNIP’s directors and
officers, nor any host stores, responsible for any scratches, bites and/or any other injuries that occur
while I am on the premises where I am caring for the animals or any other services for CatNIP.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I certify that the above information is correct, and I understand that the information will be verified.

Please allow several days for processing.
Date

MonthDayYear
By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Your name*
Parent or Guardian name
Should be Empty: