Petsmart Volunteer Questionnaire

First Name *
Last Name *
Street Address *
City *
State *
Zipcode *
Municipality * Most of the time this will be the same as your city, but can be different if you have a mailing address in the nearby major city but actually live in a smaller borough or township. (example: If you live in Hopewell Township but have a Bridgeton mailing address)
County *
Email Address *
We Use Email on a Regular Basis. How Often Do You Check Your Email? *	Daily Almost Daily Weekly Almost Never
Home Phone
Work Phone
Work Phone Ext (if any)
Mobile Phone
Where Would You Prefer We Call You? (check all that apply) *
Do You Currently Have Pets? *
How Many Pets Do You Currently Have?
Have You Ever Volunteered for Any Other Organizations? *
Please List the Other Organizations You've Volunteered For Contact information for the volunteer program is always welcome, as well as an information about what you did as a volunteer.
Have You Ever Been Investigated By Any SPCA or Humane Society? *
Have You Ever Been Charged or Convicted For Any Animal Issues? *
If Yes to Either of the Above, Please Explain Name/State of investigating agency, What the investigation was in regard to, what the charge was and/or what the result was in any litigation.
What Best Describes Why You Have Chosen to Volunteer With Us? *
By submitting this form I certify that the statements I have made on this application are true and I understand that management has the right to terminate me as a volunteer at any time for any reason at their discretion.
Signature (if on a compatible device)

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Orientation Date
Orientation By
Signed Waiver

Email Entry Date