New Volunteer - Dorothy O'Connor Pet Adoption Center

Name

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Age and Date of Birth

This is only required if under 18 years of age.

Affiliations

Are you affiliated with any animal related organization?*

Yes
No

Organization Name

Organization Address

Street Address City State ZIP Code

Organization Phone Number

Organization Contact Person

First Last

How long have you been affiliated?

Occupation

Employer's Name

Address

Street Address City State ZIP Code

Work Phone

Emergency Information

In case of emergency, whom should we contact?

Name*

First Last

Address

Street Address City State ZIP Code

Phone*

Activities

Choose the activities and times you would like to volunteer for.

Dog Walking*

None
12:00 pm to 1:00 pm
1:00 pm to 2:00 pm
2:00 pm to 3:00 pm
3:00 pm to 4:00 pm

Cat Cuddlers*

None
12:00 pm to 1:00 pm
1:00 pm to 2:00 pm
2:00 pm to 3:00 pm
3:00 pm to 4:00 pm

Adoption

Have you ever adopted an animal from our shelter?

Have you ever adopted an animal from our shelter?*

Yes
No

What kind of animal?

When?

Do you still have this animal?

Yes
No

If no, why not?

Additional Information

Please check the following activities that interest you most

Activities other

Briefly describe any experience you have had in handling animals*

Include any information that will help to indicate your interest and experience with animals. For example: what pets, if any, do you have at home? Have you raised animals for 4-H or another service project? Trained animals professionally or as a hobby?

Name

This field is for validation purposes and should be left unchanged.