Thank you for choosing to be a volunteer! Your Name: (First)
(Middle Initial)
(Last)
Address: ________________________ City: _______________ State___ Zip: ______ Home Phone: ________________Cell Phone: _____________ Work: _____________ E-mail: ____________________________________________________________ Are you over 18 years old:
YES
NO
Does your employer offer a time-off program for volunteers: YES Does your employer offer a matching gifts program:
YES
NO
NO
Please list an emergency contact and their phone number: Name: _____________________________________ ph: _____________________ Relationship to volunteer: _______________________________________________ Please tell us about your pets! Type of Pet (Dog, cat, other‌)
How long have you had them?
Spayed/Neutered?
Current on vaccinations?
Have you participated in special events or volunteered for us before? If yes, please describe. YES
NO
Why do you want to volunteer with H.O.P.E. for Animals? Besides a love of animals, what would you like to get out of your volunteering experience?