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Volunteer Form

This form needs to be filled out and submitted whether you would like to become a pals therapy visitor with your pet, or whether you would just like to man the hot dog stand at a fundraising event. This is the first step in your application. There is an online form or one you can print and fill out on paper.

If you prefer a printable form please download the (pdf) or word document. Then mail or fax it to PALS. Thank you.

Contact Information

Salutation
Mr.
Mrs.
Miss.
Ms.
First Name
Last Name
Middle Initial
Address 1
Address 2
Phone/Fax
Email

Personal Information

Employer
Occupation
Age Group

Emergency Contact

Full Name
Phone

Volunteer Information

How did you hear about PALS?
Why are you interested in becoming a PALS volunteer?
Please indicate the areas you would be interested in volunteering (check ALL that apply):
Pet Visitation
Screening Pets
Fundraising
Manning Info Booth
Newsletter Writing
Admin/Secretarial
Computer/Printing
Telephoning
Photography
Artwork
Video Taping
Volunteer training
other
Please detail your experience in the volunteer areas chosen:
Days you are available: (No Pet Visits on Fridays):
Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday
Times you are available: (check ALL that apply):
Morning
Afternoon
Evening
Availability Notes: (i.e. only weekday evenings or particular day/time NOT available)
Preferred areas of the city to volunteer:
NW
SW
NE
SE
No Preference
Have you had any experience as a volunteer, in a paid position, or otherwise working with(check ALL that apply):
Children
Elderly
Physically Disabled
Mental Health
Cognitively Delayed
If YES, please provide details:
Please select areas of experience you have with animals:(check ALL that apply):
Pet Owner
Obedience Trainer
Breeder
Vet Assistant
Other
Please provide details of your experience:
Do you have any physical or medical limitations which may limit the extent of your participation in PALS?
YES
NO
If YES, please provide details:
Please describe any hobbies, skills, interests or languages spoken that you would like us to know about:
Do you have your own transportation?
YES
NO
Is there any additional information you would like us to know?

References

Please provide infomation about three references we may contact (exclude immediate family):

Reference 1:

Full Name
Relationshiop
Phone

Reference 2:

Full Name
Relationshiop
Phone

Reference 3:

Full Name
Relationshiop
Phone