First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Cell Phone
Address*
Birthdate*
How Did You Hear About Us? Check/List all that apply 1. Petco 2. PetSmart 3. PetValu 4. Volunteer Match website 5. RTAC.org website 6. Idealist.org 7. AARP website 8. Friend/Colleague 9. Paws on Tour event 10. Facebook 11. Other*
What would you like to volunteer to do? (Top choice, Only select one)*
If you could not do your first choice, what would your second choice be?*
Are you comfortable with working with the public such as answering questions, or talking about ACDC Rescue?*
Describe yourself in 5 words or less *
Do you have any specific hobbies or skills that you think would be helpful to note for volunteer placement?*
What do you hope to gain from your volunteer experience? *
What is your current day available to volunteer on a weekly basis?
What time of day are you available to volunteer?
Can you make a 6 month or longer volunteer commitment?:*
Are you looking to volunteer as part of a community service requirement or class requirement?*
Do you require an aid or special assistance?
Have you ever been charged with a misdemeanor or felony, including a DUI?* Choose one: Yes No
If yes, please indicate the nature of the offense, the date when charged with the offense, and the outcome (e.g. pending trial, community service, or jail time).