Volunteer Info Form, Shep's Place Senior Dog Sanctuary

Name *

First

Last

Facebook Name, if different

Email *

Home Address *

City, State, ZIP *

Phone Number (no dashes, like this: 8165551212) *

Employer

Occupation

Emergency Name, Contact #, and Relationship *

Age *

18 or greater
16-17
12-15

If you are age 16 or 17, you may volunteer without a parent. However, a parent's signature will be required on the Volunteer Release Form at the time of your initial orientation. If you are 12-15, you may volunteer with a parent. We do not take volunteers under 12.

If you are 12-15 years old, what is the name of the parent/guardian who will be volunteering with you?

How many hours a week do you expect to contribute?

What days of the week are you usually available?

Which shift(s) would you be most likely to volunteer?

7 am - 9 am
11 am - 1 pm
3 pm - 5 pm
5 pm - 7 pm

Would you be interested in helping with any of the following?

Dog Welfare: Integration, Behavior, Enrichment
Facilities: Mowing, Grounds, Repairs
Outreach: Events, Fundraisers, Social Media
Management: Record Keeping, Inventory

Do you plan to use your volunteer hours to fulfill a mandated community service requirement? *

Yes
No

If Yes, please explain.

Describe any physical or medical limitations that might affect your ability to perform volunteer duties:

Any skills, experience, contacts, etc. that might be helpful:

How did you hear about us?

Comments, Advice, Questions: