Adult Volunteer Questionnaire
We Use Email on a Regular Basis. How Often Do You Check Your Email?
Work Phone Ext (if any)
Where Would You Prefer We Call You? (check all that apply)
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
Do You Currently Have Pets?
How Many Pets Do You Currently Have?
Have You Ever Volunteered for Any Other Organizations?
Please List the Other Organizations You've Volunteered For
Have You Ever Been Investigated By Any SPCA or Humane Society?
Have You Ever Been Charged or Convicted For Any Animal Issues?
Charged & Dismissed
Charged & Plead/Convicted
If Yes to Either of the Above, Please Explain
What Best Describes Why You Have Chosen to Volunteer With Us?
Possibly Seeking Employment
Love of Animals
Wanting to Gain Animal Experience
Previously Adopted an SJRAS Animal
Just Wanting to Help Out
What Responsibilities Would You Be Interested in Helping With? (select all that apply)
Caring for Cats at Millville Petsmart
Training Dogs (self taught)
Grooming Animals (trained)
Grooming (self taught)
Picking Up Donated Items
Kitten Cuddler Program
Off-Site Adoption Events
Assisting in the Cat Room
Transporting Animals to Events
Assisting Staff with Daily Laundry & Dishes
Job Position Wanted
SN Clinic Assistant
By submitting this form I certify that the statements I have made on this application are true and I understand that management has the right to terminate me as a volunteer at any time for any reason at their discretion.
Signature (if on a compatible device)
-----------------FOR SJRAS USE----------------
Interest Session Date:
Signed Waiver on File:
Cat Handling Date:
Dog Handling Date:
Email System Entry Date: