Volunteer ApplicationFirst Name *Last Name *Age *Must be 21+Email Address *Main Phone *Phone Type *HomeCellWorkOtherAlternate PhonePhone Type *HomeCellWorkOtherStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *How long have you lived at your current address? *Employment Status *Please select oneEmployedRetiredStudentStay-at-Home ParentUnemployedEmployer *Emergency Contact Name *Emergency Contact Number *Relationship *Besides yourself how many others live in your household?First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *First Name *Last Name *Age *Relationship (child, parent, etc) *Volunteer HistoryHave you ever volunteered before? *YesNoWhere did you volunteer previously? *Why do you want to volunteer? *What skills do you have that you would like to use when volunteering? *Which of the following areas are you interested in volunteering (select all that apply) *Social MediaCat SocializationAnimal TransportFoster CoordinatorAdministrative TasksApplication ProcessingGeneral CleaningHandyman TasksPhotos/VideosOtherOther *How many hours a week are you looking to volunteer? *Are you willing to volunteer for at least six months? *YesNoIf no, please advise on desired time frame *Your Pet ExperienceWhat are your thoughts on declawing cats? *What are your thoughts on allowing cats to go outdoors? *Have you had any pets in the past 5 years? *YesNoPlease list the pets you've had in the past 5 yearsName *Age *Species *Select OnedogcatbirdreptilerabbitrodentotherStatus *Select Onestill havedeceasedhad to give uplostBreed and SizePersonality *Were all the above animals up-to-date on wellness visits and vaccinations? *YesNoIf no, Explain: *Do you have a veterinarian? *YesNoVeterinarian Name *Phone NumberStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *If more than one vet is used, please provide Name, Address, and Phone Number below: Please call your vet and give permission for them to speak to usPersonal Reference Please note that your reference cannot be a family memberReference First Name *Reference Last Name *Reference Phone Number *Additional Details and SubmissionHow did you hear about us? *Is there anything else you'd like us to know?By signing below, I give Animals In Distress (AID) access to all veterinary records of any and all animals I own or have owned as well as any other contacts listed on application. I certify that all the information in this application is true and I understand that false information will void the application. Completion of this application in no way obligates AID to have me as a volunteer. AID reserves the right to deny approval of any application.Applicant's First Name *Applicant's Last Name *Date * By selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement.Once submitted, you will receive a confirmation e-mail. If not received, please resubmit or e-mail us directly at animalsindistressnj@gmail.com.Submit
