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Volunteer Application  

Personal Information


Name:
            Birthday( Mo/date/year):

Address:

City:                      State:               Zip:

Phone ( Including Area Code):

Home:          Cell:                   Work:

E Mail Address:
 

Volunteers Opportunities

How often would you like to Volunteer?      Once a Week          Once a Month            Other (Specify)


Please check the times you are available to volunteer:

Monday           Tuesday           Wednesday           Thursday            Friday               Saturday              Sunday

A.M.             A.M.              A.M.                   A.M.                A.M.            A.M.                  A.M.

P.M.             P.M.              P.M.                   P.M.                 P.M.            P.M.                  P.M.

Even            Even            Even                   Even               Even           Even                Even

Briefly explain why you would like to volunteer with A New Dawn:

Do you prefer working with dogs or cats?  Dogs     Cats     

General Office Work        Animal �Hands On�                Maintenance Work                            Fundraising

 Telephone Work               Feeding Cats and Dogs                Cleaning On Site                                  Mass Mailings

General Reception           Walking/Exercising Dogs               Cleaning Off Site                                Brochures and Design

Adoption Interviews       Bathing Cats or Dogs                      Laundry                                               Advertising/Publicity

Volunteer Interviews     Grooming                                           PetSmart Volunteer                                 In person solicitation
                                                   (Cutting, Hair, Nails, Combing)

Volunteer Schedules     Animal Transportation                     Special Event Set Up and Tear Down    Internet Research       

                                                                                                                    Photography                                               Photography

Reference

List two Reference (other than family) who we can  contact and their relationship to you ( friend, employer, ect.)

Name:         Relationship:

Address:         State:  city:  Zip:

Daytime Phone:                                                           Other Phone:

 

Name:      Relationship:

Address:      State:  city:  Zip:

Daytime Phone:                                                           Other Phone:

 

Emergency Contact Information

Name:                                                Relationship:

Home Phone:                                                             Other phone:

 

Release Statement

I certify that all statements I have made on this application are true and correct. A New Dawn Pet Adoption had my permission to contact the  reference listed above. By typing my name I also certify that A New Dawn Pet Adoption is not responsible in case of personal injury.

Name:                                                    Date:

Name Of Guardian (If under 18 Years of age):             Phone Number: