FCRSPCA Application Form

Please complete this application form if you are interested in volunteering at Fulton County Regional SPCA. Once you complete the form, click the Continue button at the bottom.

Contact Information

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Employer

Please list your current or most recent employer, if applicable. Employment Status does not affect your ability to volunteer.

Employer name:

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Work phone:

Demographics

Let us know a bit more about you

Date of birth:

Age range:

Gender:

Availability

Please indicate the days and times you are usually available to volunteer.

Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply. Feel free to add anything that isn't listed.

Do you have any experience working with animals?

Please include any previous shelter experience, current or in the past, if applicable.

Do you have animals at home?

If so, you will need to have proof of Rabies, distemper and/or 5-in-1 vaccinations for your animals.

* Animals:

Yes - cats

Yes - dogs

Yes - ferrets

Medical restrictions or Issues?

Do you have any concerns about allergies or medical conditions that may interfere with your volunteer duties? Including, but not limited to: bee stings, allergies to antibiotics, back issues, etc.

* Medical Conditions:

Yes

If yes, please explain:

Have you been convicted of a crime?

If yes, please explain in more detail. Your response may not disqualify you from volunteering.

* Crime:

Yes

If yes, please explain:

Anything else?

Is there anything else you'd like us to know about you?

I Agree

I understand and agree that submitting this application form does not automatically register me as a Fulton County Regional SPCA volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures as well as attending an orientation before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree