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Today's date:
First name: Last name: Current Street Address: City: State: Zip Code: Daytime Phone Number: Evening Phone Number: E-Mail: Best Time to Contact You: Age:
Name: Relationship To You: Daytime Phone Number: Evening Phone Number:
Employer: Occupation:
Why do you want to volunteer for The Animal Awareness Society?
Describe any experience working with animals:
Describe any previous volunteer experience:
Do you currently have pets?YesNo
Do you currently have any limits on the type of volunteer work you can do? YesNo If yes, please explain below:
Do you have any known allergies, including animals, chemicals or detergents? YesNo If yes, please explain below:
Please check ALL you would volunteer to do or are interested in learning more about:
Taking care of the shelter/PETCO habitat: Clean cages, scoop litter boxes Feed and water the cats Sweep shelter/habitat floor. Wash and disinfect food/water dishes Wash and disinfect kitty litter boxes
Taking care of the cats: Play and exercise with cats in Playroom with lots of TLC Work with shy cats using toys, food rewards and other behavior modification Learn to administer medications to cats Transport cats weekdays to veterinary specialists
Adoption program: Learn to screen potential adopters over the phone Phone recent adopters to follow-up on how cat is doing in new home Consider fostering special needs cat until adopted Train to become Adoption Counselor Staff off-site special events (cats are transported to event) Take photographs of cats for Website
Educational: Staff special events - promote our mission, recruit volunteers Speak to civic and community groups about our mission and programs
Volunteer Program: Plan and organize social events for volunteers Request donations from local businesses for volunteer thank you gifts Coordinate new Volunteer Orientation Become an Orientation Presenter Train New Volunteers
Fundraising: Request local businesses to host our coin collection cans Request donated goods or services from local businesses Pick up donated goods from individuals or businesses Plan, organize, and staff fundraising events
Mondays Tuesdays Wednesdays Thursdays Fridays Sundays Any time 10am-8pm Feed/water cats, minor cage clean-up, and play with cats at PETCO
Saturdays 11am-4pm Assist staff doing adoptions at PETCO. Can be playing/grooming cats, setting up cages for new cats, answering questions from possible new owners, etc.
Liability Waiver The undersigned hereby acknowledges that working with animals may be dangerous and can lead to serious injury or even death. The undersigned understands and agrees to personally assume any and all liability and risks of working The Animal Awareness Society Inc. (TAAS). Further, the undersigned agrees to hold harmless TAAS, its officers and agents, from any responsibility or liability for any and all personal injuries or death which may occur during the term of this agreement.
Acknowledgement: By checking this box, I certify that I have read the above Liability Waiver and understand that my signature will be required in person if this application is accepted.
Tetanus Shot Verification The undersigned states that his/her last tetanus shot was received within the last five years Date last received:
If you have any questions regarding being a volunteer please call 336-498-1603.
