Desert Catopia Volunteer Application Form

First and Last Name:

D.O.B./Age

Street Address

City:

State:

Zip:

Cell phone:

Email Address:

Allergies or physical restrictions:

How did you hear about Desert Catopia?

Why do you want to volunteer at Desert Catopia?

Do you work with any other rescue organizations?

If so, please give contact information for that organization including name and phone #:

Please list any pets you currently own (or have owned in the past).

Animal Experience: (check all that apply)

If you would like to comment more on your experience with the above, please do so here:

If you listed other, please explain:

Other Experience, Special Skills, Strengths, Talents: (check all that apply)

If you would like to comment more on your experience with the above, please do so here:

If you listed other, please explain:

Volunteer Work Preferences: (check all that apply)

When are you available to volunteer? (check all that apply)

Would you be willing to volunteer at out of town events?

Reference #1 (Name, phone # and relationship to self)

Reference #2 (Name, phone # and relationship to self)

Reference #3 (Name, phone # and relationship to self)

Any additional comments:

In case of emergency, who should we contact? (name and phone #)

Anything else you would like to say, please note it here: