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:
Choose
Dr.
Mr.
Mrs.
Ms.
Mx.
Street 1:
*
Street 2:
Street 3:
City:
*
State:
Choose
NY
*
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:
Choose
Dr.
Mr.
Mrs.
Ms.
Mx.
Street 1:
Street 2:
Street 3:
City:
State:
Choose
NY
Zip:
Home phone:
*
Work phone:
Cell phone:
Email address:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
*
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:
Choose
Dr.
Mr.
Mrs.
Ms.
Mx.
Street 1:
Street 2:
Street 3:
City:
State:
Choose
NY
Zip:
Home phone:
Work phone:
Demographics
Let us know a bit more about you
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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31
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
2005
2004
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2002
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1924
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1920
1919
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1916
*
Age range:
Choose
18 to 64
65 or over
Under 18
Gender:
Choose
Fabulous
Female
Male
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning (7-9am):
Afternoon (4-6pm):
Evening (after 6pm):
Any time:
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.
Skills:
Animal Behavior/Training
Computer Work/Data Entry
Flyer/Poster Distribution
Fun-draising
Gardening/Grounds
Graphic Design
Grooming
Medical Aid
Scooping poop for fun
Any skills we missed?
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:
No
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:
No
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:
No
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
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