Emergency Contact Name
Phone
What pets have you owned in the past? (type,
breed, sex)
What pets do you own currently? (type, breed,
age, sex)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Pet 7
If the animals you have now are not up to date on vaccines and
spayed/neutered, is there a reason?
Have you ever had to give a pet away or turn a pet into a
shelter? If yes, under what circumstances?
If you have no pets currently what vet have you used in the
past?
What is their phone number?
If you have
pets currently, what vet do they currently see?
What is their phone number?
Have you
volunteered for any other organizations? If so, please list the
organization, name of contact, and phone number for that contact.
Do you
have any skill or talent that would be useful in your volunteer
experience? (ie, are you an artist, bookkeeper, computer
programmer, journalist, musician?)

SHELTER HOURS
Monday &
Wednesday: 1pm to 6pm
Tuesday, Thursday and
Friday: 11am to 4pm
What
days are you interested in volunteering at the shelter?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday Sunday
What hours are you interested in volunteering at the shelter? (Must be
when shelter is open, except Sunday)
Monday
Tuesday Wednesday
Thursday
Friday
Saturday
Sunday
Have you ever been convicted of a crime?
yes no
Have you ever been investigated or visited by an SPCA Law Enforcement
Official?
yes no
If yes, please explain:
Have you ever been charged with an animal cruelty offense?
yes no
Which of the following best
describes why you have chosen to volunteer with the CCSPCA?
Fulfilling a school
requirement
Possibly seeking employment at
CCSPCA
Wanting to gain animal
experience
Love of
Animals
Just wanting to help
out
Adopted an
animal from CCSPCA
What responsibilities would you be
interested in helping with? (check
all that apply)
Training
Dogs
Grooming
Animals
Cat Socialization
Dog
Socialization
Assist in the Cat
Room
Dog Washes
Educational
Activities
Pet Photo with
Santa
Pet Walk in April
Walk
Dogs
Cat
Shows Labeling Newsletters, etc.
Make follow-up calls on
adoptions
Collecting from donation sites
Assembling Adoption
Folders
Showcase animals at public events
Fostering Dogs or Puppies
Fostering Cats or Kitten
Assisting in the Spay/Neuter Clinic
Assisting
in maintaining Petfinder animal lists
Assisting
in managing CCSPCA's website
Assisting
in the shelter office
I certify that the statements I have made on
this application are true and I understand that management has the
right to terminate me as a volunteer at any time for any reason at
their discretion.