Rescue Volunteer

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Personal References

List 3 personal references below. (Include name and phone number)

About Yourself

Why do you want to volunteer for Piedmont Animal Rescue?

Have you ever owned or fostered an animal before?

YesNo

List family pets, along with how long you owned the pet, and where the pet is now. Put N/A if no pets.

If you currently have pets, are they spayed or neutered?

All of my pets have been spayed or neutered at the age-appropriate timeSome of my pets are spayed or neutered but not allI do not believe in spaying or neutering my animalsI do not have pets

Are your pets up to date on their vaccinations and monthly preventatives?

My pets are all up to date on their vaccinnations and receive monthly preventativesMy animals are up to date on their vaccinations but I do not administer monthly preventativesI do not vaccinate my animals or give them monthly preventativesI do not have currently have petsPlease select one of the following

Please provide the name and phone number for your most recent or current veterinarian. Put N/A if not applicable.

A Few Questions

Have you been involved in domestic disturbances in which the police were called? If so, explain.

Animal Experience

Describe any experience you have had with obedience training, or with medical or behavioral issues

Type Of Application

What type of volunteering are you interested in?

Volunteer Office PersonalGrant WritingFundraising

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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