Ayres: Volunteer Application

First Name *

Last Name *

Preferred Nickname

Street Address *

City *

State *

Zipcode *

Phone Number *

Cell Phone *

Texts Okay?

What is your preferred method of contact? *

Email *

Age: *

Date of Birth: (Month/Day)

How did you hear about Ayres?

What do you hope to gain from a volunteer experience at Ayres Animal Shelter? *

Animal Experience? *

If Other: Explain

Other Experiences, special skills, strengths and talents: *

Please indicate any specialized equipment/resources you have available, firsthand experience working with animals or additional skills, or training:

Describe any present or past volunteer positions *

Are you currently employed? What is your work schedule? Employers Name/City. What kind of work do you do? *

How much time can you commit? *

Are you willing to volunteer off premises?

Areas of Interest *

When do you have availability? *

Emergency Contact 1: Name/Relationship/Phone Number *

Emergency Contact 2: Name/Relationship/Phone Number *

*

By checking this, I confirm that the information provided on this application is correct. I understand the commitment involved and acknowledge that my services are offered at my own risk. I agree to adhere to Ayres Memorial Animal Shelter's policies and effectively carry out my duties as a volunteer of Ayres Memorial Animal Shelter. I give my permission to Ayres Memorial Animal Shelter to verify any of the information given.

Signature *

Date *

Volunteers ages 12 to 15 might be required to be accompanied by a parent or guardian during each volunteer shift. The parents or guardian must also have a completed volunteer application

All volunteers ages 12 to 17 must have a signature of a parent or guardian.

Parent Signature:

Date