EmailMe Form - T.A.R.A. Volunteer Application

Name *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Alternative Phone

### - ### - ####

Email *

Preferred Contact Method

Phone

Email

Emergency Contact *

Relationship *

Emergency Contact Phone Number *

### - ### - ####

Age *

18 or older

16 or 17 years old

Under 16, but I have a parent to accompany me.

How did you hear about us?

Why are you interested in volunteering? *

I want to gain job skills.

I need to gain volunteer hours for school.

I need to fulfill my court referral obligations.

Other

Please check duties you are interested in: *

Working directly with the public at our vaccine clinics

Clerical/office work/computer skills

Cleaning, folding laundry

Gardening/landscaping

Answering phones/making reminder phone calls

Other

We need volunteers on Mondays-Fridays between 9:00am and 5:00pm.

Please explain which days and hours that you are available (being as specific as possible): *

How long/often do you plan to volunteer?

Do you have any special skills or qualifications that you feel will enhance your work with T.A.R.A.?

If you have pets, please tell us about them. Are they spayed or neutered?

Is there anything else you would like to share with us?