Benton Animal Control Volunteer Application

Thank you for offering your time, once submitted you will be contacted by the staff of Benton Animal Control.

Age * If you are not 16 or over please do not continue. We cannot accept volunteers under 16 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 *
Second 1st name
2nd last name
Address *
City *
State *	AR AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
ZIP *
Phone *
Email *
Driver's License #.
Do you have reliable transportation? *	NoYes
Emergency contact name *
Emergency contact number *
Are you volunteering to fulfill a court ordered community service program? *	NoYes
Do you have health insurance? *	NoYes
Dog Care	NoYes
Cat Care	NoYes
Bathing and Grooming Animals	NoYes
Animal Trainer	NoYes
Assist with Animal Adoption and Events	NoYes
Fundraising efforts Please include interest in activities like Event planning, solicitation efforts, grant writing, donor searches, Public Relations, etc.
Photographer	NoYes
How many hours are you willing to commit to as a volunteer?
Please explain what you hope to contibute as a volunteer?
Please explain what you hope to gain through you experience volunteering?
Please list any relevant animal care/volunteer experience.
Do you have a criminal conviction in the last 10 years?	NoYes
Are you willing to undergo a background check?	NoYes
Please provide 2 references, please include name, relationship, phone number and email address
Other - We need all sorts of help with our vehicles, building, etc. We appreciate every helping paw!
Date