Name
*
First Name
Last Name
Address
*
City
*
State and Zip Code
*
Email Address
*
Primary Phone
*
(###)
###
####
Secondary Phone
(###)
###
####
Birthday
So we can tell you happy birthday!
MM
DD
YYYY
Age Group
*
Volunteers aged 9-15 years old MUST have a guardian present at all times. The guardian needs to have a volunteer application on file also.
Guardian Phone Number
(###)
###
####
Guardian Email Address
Parent / guardian volunteer status.
In what areas are you interested in helping?
*
Name
*
First Name
Last Name
Relationship to you
*
Address
City
State
Phone
*
(###)
###
####
Name
First Name
Last Name
Relationship to you
Address
City
State
Phone
(###)
###
####
Availability
*
Are you willing to commit a minimum of 4 hours per month for one year?
*
Are you interested in signing up for a set shift weekly or bi-weekly? If so, when works for you?
*
What experience do you have with animals?
Do you have any physical limitations/ allergies? If yes, please explain:
*
Must be able to push, pull, walk, bend, squat, stand for longer than 10 minutes, etc.
Please list all languages you can speak:
*
Do you have any special skills we should know about?
examples: public speaking, professional groomer, licensed animal trainer, computer skills, etc
Why do you want to volunteer?
*
How would you like to make a difference?
How did you hear about Noah's ark?
Do you currently have pets?
*
If yes, please list breeds, ages, sex, etc:
*
Are your current pets up-to-date on vaccinations?
*
Have you ever been convicted of a felony?
*
If yes, please explain
Are you acquainted with a current noah's ark volunteer or employee?
*
if yes, please provide their Name/position:
Their relationship tp you:
Name
*
Organization
*
Title
Contact Info
*
Are you volunteering at Noah's Ark for court ordered community service?
*
Please type your full name indicating your agreement to the above statement (electronic signature)
*
