Westport Animal Shelter AdvocatesVolunteer - Westport Animal Shelter Advocates

Date:

Name:

First Last

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Number:

Cell Number:

Email:

Occupation:

Are you 18 at least 18 years old?

yes
no

Emergency Contact Info:

Name:

First Last

Phone:

Relation:

Employer Info:

Name:

First Last

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:

Reference #1:

Name:

First Last

Phone:

Relation:

Reference #2:

Name:

First Last

Phone:

Relation:

Questionaire

Why do you want to volunteer? What would you like from your experience?

Please outline your experience or knowledge of animals/pets:

Please list your previous volunteer experience or current volunteer activities, if any:

What are your hobbies or special skills?

How did you hear about WASA and volunteer opportunities?

Do you have reliable transportation to Westport Animal Control and WASA events?

yes
no

Are you volunteering to fulfill a community service requirement?

School Service
Court Order
Other

Do you currently have health insurance?

yes
no

What days of the week are you available to volunteer? Any specific times?

Please circle your areas of interest:

Fund Raising
Publications & Marketing
Public Relations
Foster dogs who need a home environment
Photography
Dog Walking/Socializing
Computer/Social Media

Volunteer

WASA Volunteer Application

Emergency Contact Info:

Employer Info:

Reference #1:

Reference #2:

Questionaire