Arrowhead Adoption Application

ARR Volunteer Application

Thank you for offering your time, once submitted you will be contacted by email with our next orientation date and a request for confirmation. Please email your photo to volunteers@arrowheadreptilerescue.org.

Your age * If you are not 14 or over please do not continue. We cannot accept volunteers under 14 for liability reasons. However many young men and women help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.
Name - First *
Name - Last *
Address *
City *
State *
ZIP *
Email *
Home Phone
Cell Phone Number
Work Phone
Your occupation
Where are you employed?
highest grade level completed
degree or certification
school currently attending
Your current major
Are you volunteering to fulfill required school community service time?
Are you volunteering to fulfill a court ordered community service program?
Do you have a computer with internet? *
Do you have a smartphone? *
List any state and local laws where you live regarding reptiles *
List all other pets in your home *
List all species of reptiles and amphibians you have kept in the past
Where are the animals from the previous question now?
What kind of work or hobby experience or education with animals do you have, if any? *
	Please complete the following emergency contact and medical information for our records:
Emergency contact name *
Emergency contact number *
Please list any medical conditions which may affect your ability to work with animals or fight off infection We don't want to make anyone sick or your medical conditions worse. Please disclose any medical problems so that we can ensure you are not being placed in any danger.
Please list all known allergies
Insurance Provider or Company Please provide your personal medical insurance information in case of an emergency
Policy Number and Group Number (if applicable)
Insured's Name
Doctor's name
Doctor's phone number
	Please complete the following driver information if you intend to transport animals for ARR: You may skip this section if you are not transporting animals for ARR
Driver's License #. If you are transporting reptiles for ARR, please complete this section on your license and vehicle
Type of vehicle
License plate number
State of registration
Your vehicle insurance provider
Vehicle policy number
	Please complete the following information about your living situation if you wish to foster animals for ARR:
Do you rent or own your home?
How many other units in the building?
If you rent, what is your lease's animal clause?
Do you have children in the home?
If yes, what ages?
Do you have an elderly person in your home?
Doing Social Networking for us
Who else lives in your home with you?
Your homeowner's insurance provider or company
Your homeowners insurance policy number
Type of enclosures, habitat, caging, and accessories you have (be specific: dimensions, wattage, etc)
What part of the home will the fostered animals be kept in?
What type of secure outdoor housing can you provide, if any?
Who is your current reptile veterinarian?
Your vet's clinic phone number
What types of reptiles or amphibians are you willing to foster?
What will you feed the reptile you want to foster?
Where will you acquire your food?
What type of emergency plan do you have in the event of a natural disaster or other unforeseen emergencies?
	How would you like to help ARR? Please complete the following to indicate how you would like to help us:
Please explain what you hope to contibute as a volunteer?
Please explain what you hope to gain through you experience volunteering?
Do you have a criminal conviction in the last 10 years?
Are you willing to undergo a background check?
Please provide 2 references, please include name, relationship, phone number and email address
Fostering - Short Term
Fostering - Long Term See our fostering information and application for more information
Helping Out at the Shelter - General Cleaning
Planning or Helping Out at Events
Fundraising efforts Please include interest in activities like Event planning, solicitation efforts, grant writing, donor searches, Public Relations, etc.
Driving Animals to Vet Appointments, Adoption Events, etc.
Photographer
How many hours are you willing to commit to as a volunteer?
Anything else you think we should know, or you would like us to consider, when reviewing your application?
	Please complete the following information if you are under 18 years old
Father's name
Father's phone number
Father's work number
Mother's name
Mother's phone number
Mother's work number
Parent's address (if not living at home with parents)
Parent's home phone number
Date
Sign here * Your signature will also be electronically recorded upon our first meeting. Please email a photo of yourself for your volunteer record to: volunteers@arrowheadreptilerescue.org Thanks for your interest in volunteering for ARR!