Volunteer Application

NOTE: All fields are required unless noted

Your Name

Your Email

Street Address

City

State

Zip Code

Home Phone

Mobile Phone

Preferred Contact Number
HomeMobileEither

EMERGENCY contact

Phone Number

Are you over 18?
YesNo

________________________________________________________________________

If you are not over 18, please add parent/guardian contact information below.

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Street Address

Parent/Guardian City

Parent/Guardian State

Parent/Guardian Zip Code

Parent/Guardian Home Phone

Parent/Guardian Mobile Phone

________________________________________________________________________

Have you ever adopted from us?
YesNo

Do you have pets in the home?
YesNo

If yes, list all pets names, type and ages:

Are they up to date on shots?
YesNo

Do you have medical insurance?
YesNo

Is this volunteer request for community service?
YesNo

Have you volunteered with any other organization?
YesNo

If yes, what did you do and where?

Please tell us of any special skills, training, or experience you have:

How did you hear about Angelcat Haven?

Volunteer Agreement

In consideration of this opportunity to volunteer/foster for Angelcat Haven (ACH), I agree to the following terms and conditions:

I will abide by the mission, rules, regulations, and policies of ACH while I am a volunteer.

I will maintain the dignity and integrity of ACH and honor confidential information.

I understand that ACH may refuse volunteer/foster applications for any reason.

I have accurately and truthfully completed the Volunteer Application.

I acknowledge that my services are provided strictly on a volunteer basis, without pay or compensation of any kind, and without liability of any nature on behalf of Angelcat Haven.

All duties to be performed by me are at my own risk. I waive all claims against ACH, its members, directors, and volunteers for all personal injury and property damages resulting from volunteer work with Angelcat Haven.

Do you accept the above agreement and consent Angelcat Haven and representatives on behalf of Angelcat haven to use this information for processing your application for becoming a foster home?

YesNo