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Register to Volunteer
* Red Fields Are Required
Volunteer Name:*
Date of Birth:*  (Must be at least 16 with gaurdian or 18 to work alone)
Address:*
City:*
State:*
Zip:*
     
Home Phone:*
Cell Phone:
Email:*
     
Emergency Contact:*
Relation:*
Home Phone:*
Cell Phone:
   
References (Please list two references who are not family members)
Name:*
Relationship:*
Phone:*
     
Name:*
Relationship:*
Phone:*
     
Education (Check last year completed)
High School:
College:
Graduate School:
Employment
Are you employed?*
Yes No
Employers Name:
Address:
May we call your work?
Yes No
If yes, phone:
Describe the type of work you do:
List any special skills, training, interests or hobbies:
     
Volunteering
How did you hear about the volunteer program at Pinal County Animal Care and Control?
Why are you interested in becoming a Animal Care and Control Volunteer?
Yes No
*Are you volunteering to fulfill a court-ordered community service requirement?
(If yes, you must interview with the shelter Director and complete all other volunteer requirements)
Yes No
*Have you ever been convicted of any offense relating to or involving cruesly to or neglect of an animal?
Yes No
*Do you have experience working with/handling animals?
If yes, please describe:
Yes No
*Do you have pets at home?
If yes, what kind?
Yes No
Are your pets spayed or neutered?
Yes No
*Are you allergic to any chemical agents (such as bleach) or to fumes from cleaning agents (such as bleach)?
If yes, please indicate agent(s) to which you are allergic:
Yes No
*Are you allergic to latex (or items containing latex)?
Yes No
*Are you a seasonal or winter visitor?
If yes, please indicate the month during which you are in AZ and available for volunteering:
Please check the volunteer opportunities in which you would like to participate (cross training for multiple positions is encouraged):
Bathing/Grooming
Animal Photography
Office/Dispatch Assistant (clerical)
Dog Walking/Socializing
Cat Cuddling/Socializing
Adoption/Adoption Events Assistant (clerical)
Community Outreach/Education Assistant
Kennel Assistant
Animal Foster (Special Requirements Apply)
Yes No
*Are you available to volunteer for a minimum of 8 hours per month?
Yes No
*One of the responsibilities of the shelter is to euthanize (put to sleep) animals upon request of the owner(s), in cases of severe illness, aggression, or to meet the shelter’s need for physical space. Are you comfortable volunteering for an organization in which euthanasia is performed?
Sheduling
Day Shift  
Monday  
Tuesday  
Wednesday  
Thursday  
Friday  
Saturday
Do you desire different hours?

  *I give my permission to PCACC to verify the information given.

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