WWAH Volunteer Application

Name *
Date of Birth *
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Email Address *
Please check one of the following: *
Emergency Contact Name: *
Emergency Contact Daytime Number *
Relationship to Applicant *
Areas of Interest (check all that apply): *	Adoption Counseling Bathing & Grooming Dog Training Foster Home Animal Care (clean kennels) Cat & Kitten Socialization Dog & Puppy Socialization Clerical Walking Dogs Special Events/Fundraising
Current Experience (check all that apply):	Dog Training Veterinary Assistance Whelping Grooming Animal Rescue Writing Fund Raising Kennel Assistant
Do you have a specific tim available to volunteer or are you flexible? *
Days of the week you will be available (does not mean you have to work all these days):	Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM Sunday PM
I understand and agree that the Shelter may refuse volunteer applications for any reason. When assigned as a volunteer I understand I will be asked to accurately and truthfully complete a permission and release form. *
Todays Date *
By typing your name you acknowledge the above: *
E-mail Address: *


* Required