Volunteer Application Twitter Volunteer Application for Animals in Distress First Name * Last Name * Age * Must be 21+ Main Phone * Phone Type * Home Cell Alternate Phone Email Address * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * How long have you lived at the above address? * Employment Status * Retired Student Employed Unemployed Stay-at-Home Parent Emergency Contact Name * Emergency Contact Number * Relationship * Parent Spouse/Partner Roommate Other How many people live in your household, aside from yourself? 01234+ Volunteer Have you ever volunteered before? * yes no 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 Media Cat Socialization Animal Transport Foster Coordinator Administrative Tasks Application Processing General Cleaning Handyman Tasks Photos/Videos Other If How many hours a week are you looking to volunteer? * Are you willing to volunteer for at least six months Yes No Pet History What are your thoughts on declawing cats? * What are your thoughts on allowing cats to go outdoors? * Pet History How many pets have you had in your household in the last 5 years? * 0123456+ Were all the above animals up-to-date on wellness visits and vaccinations? * yes no Veterinarian Name Phone Number Street Address State City Zip Code Please call your vet and give permission for them to speak to us Name of Personal Reference (non-family) * Phone Number * Additional Details and Submission How 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.