SCC

Volunteer Application

Please READ - Important Note:

To move from one box to the next, please either click on the next box or use the "Tab" key to move through this form. Do not use the "Enter" key, as this will submit the form before it is complete.

Applicant's Name:
E-mail address: (Please make sure this is correct so that your application can be processed)
Home Phone Number (include area code):
Work Phone Number (include area code):
Cell Phone Number (include area code):
Address:
City:
State:
Zip Code:
Age (If Under 18):
Occupation/Background:
How did you learn about SCC?
What part of volunteering appeals to you?
Do you have any professional skills that would be useful to our organization? (Not required, just asking!)
We most frequently need volunteering in the following areas. Please check all that you are interested in: Adoption Counseling (Responding to calls and/or e-mail inquiries from people wanting to place or adopt pets, or wanting general information)
Foster Care (Providing urgent and/or ongoing care for animals needing immediate relocation)
Dog Foster Care
Cat Foster Care
Other Foster Care (please specify)
Fundraising (Assisting with planning/operating fundraising events)
Paws-To-Adopt Events (Assisting with on-site adoption events [PTAs] held most weekends; show pets, take applications, etc.)
Special Events (Assisting with planning/operating special events such as information booths at community fairs)
Petsmart Adoption Center (talk to potential adopters, clean cat cages)
Animeals (bag and/or deliver food)
Record Keeping
Transporting Pets
Technical Computer Support (Website, database development, etc)
Other (Examples include: phone work, bookkeeping, clerical, veterinary knowledge, animal training/behavior knowledge)
Do you prefer to do volunteer work: From Home At Special Events Both
How much time do you have to donate to SCC on a weekly basis?
Are you willing to make a minimum 3 month commitment to SCC? Yes No
Do you have any physical or emotional conditions that could impact your ability to perform volunteer duties? Yes No If so, please describe:
Please list any past and present volunteer activities by date/organization/supervisor/your role (if applicable):
If you own pets, please list them by species, name, and whether they are spayed/neutered:
Who is your veterinarian (Name and phone number)?
Please list 2 references who will attest to your interest in animal welfare and ability to commit:
Reference #1 Name
Phone #
Relationship
Reference #2 Name
Phone #
Relationship

I understand that my participation in Second Chance Companions (SCC) is on a volunteer basis and does not include coverage against any bodily harm or other incident, liability, injury or damage that may occur to me or my property. I release SCC, its agents, contractors, volunteers and assigns from any and all liability against same. I will secure authorization prior to incurring any expenses for which reimbursement will be requested. My agreement insures my willingness to comply with all SCC policies and procedures, and gives my permission for SCC to contact any of the above agencies or individuals for reference, and guarantees that all statements are true and correct to the best of my knowledge.

I HAVE READ AND AGREE WITH THE ABOVE STATEMENT.
YESNO

Second Chance Companions PO Box 2343 Battle Ground, WA 98604 Phone 360-687-4569 Email: info@sccpets.com
USaturday, April 14, 2007