• Your Name *
• Address *
• City and Zip *
• Phone:
• Email *
• Your Age *
• Have you ever been convicted of a felony? *
  Yes

  No
• (explain below)
• REFERENCES
• Emergency Contact Name *
• Emergency Contact Phone *
• Please list two references who can speak to your character,
  work ethic, and/or experience with animals
• First Reference Name & Phone *
• Relationship with First Reference *
• Second Reference Name & Phone *
• Relationship with Second Reference *
• Why do you want to volunteer at our shelter? *
• LIVING SITUATION
• Describe any special skills or hobbies: *
• Describe any allergies, physical disability, or other limitations that may restrict your volunteer experience or require special attention: *
• Describe any experience with animals: *
• Please check any areas of interest below: (please check at least one) *
  Walking dogs

  Fundraising

  Socializing cats

  General cleaning

  W.I.N. (wherever I'm needed)
• Describe your ability to volunteer:
  (days of the week, hours of the day) *
• *
  I understand that I must attend a Volunteer Orientation before beginning my Volunteer work. I will receive further instructions about orientation once I submit this form. I agree to not hold FAHS repsonsible for any injury or loss that may occur.