Volunteer Form

Length of commitment you are able to make:

I only want to volunteer occasionally (fostering, transportation, grant writing, fundraising only ) Once a week Once every two weeks (Required for most positions) Once a month (transportation or fund raising only)

What volunteering positions are you interested in?

Why do you want to volunteer with us?

Opening Clean and Feed Shift - check all that apply.

Closing Clean and Feed Shift - check all that apply

Lounge Attendant Day Time Shift: 11 am to 2 pm - check all that apply

Lounge Attendant Day Time Shift: 2 pm to 5 pm - check all that apply

What experience do you have with animals and/or animal care?

Have you volunteered with an animal rescue organization in the past?

Yes No

If yes, please list rescue org and their contact info.

Have your held a volunteer position of any kind in the past?

Yes No

If yes, please list your position, the organization and their contact info.

Do you have pets now?

Yes No

If yes, are they spayed or neutered?

Yes No

If you do not have any pets, have you had pets in the past?

Yes No

If yes, were they spayed or neutered?

Yes No

Please tell us about the pet(s) you own or have owned in the past. Please include species, breed, and age at the time of death:

Have you ever surrendered an animal to the shelter?

Yes No

If yes, please explain why:

Are you allergic to cats?

Yes No

Are you employed?

Yes No

If yes, please specify your employer and your position for your employer:

Are you a student?

Yes No

Are at least 15 years old?

Yes No

Please tell us about the skills you can bring to Small Lives Matter Kitten Rescue.

Are you willing and prepared to help with all of the following tasks if necessary?

Disinfecting cat enclosures, cleaning litter boxes, washing dishes, doing laundry, handing out promotional material, staffing adoption events, answering questions about animals and the adoption process, feeding animals, entering data into a spreadsheet.

Yes No

If no, which tasks are you unwilling to take on?

If you currently own a pet or have owned a pet in the past 5 years, please list your veterinarian's name and phone number:

SEALED RECORD NOTICE

Applicants having a sealed conviction records on file with the Commission of Probation may answer "no" to the following:

Within the past ten years, Have you been convicted of a misdemeanor?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please explain:

CERTIFICATION OF APPLICATION

By checking the box and printing my name below, I certify that I understand that completion of this form is only the first step in the volunteer application process, that an interview and training is required in order to complete the application process, that I am ast least 15 years old, that the above information is true and accurate to the best of my knowledge, and that I understand that my application will immediately be rejected if it is determined that I falsified any information at any time during the application process.

Yes, I understand.

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