Volunteer Application Questions
About You
Please note: Applicants under the age of 16 must co-volunteer with an adult. All adult co-volunteers must also submit an application.
First name:
*
Last name:
*
Street 1:
*
Street 2:
City:
*
State:
Choose
IN
MA
ME
NH
OR
PA
RI
*
Zip:
*
Home phone:
Cell phone:
*
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
*
Do you have health insurance?:
Choose
No
Yes
*
Interest
Why do you wish to volunteer at MSSPA?
Employment/School Information
What is your current/previous occupation or your focus
of study?
Volunteer Experience
Please describe any previous volunteer experience.
Community Service
Do you have required community service?:
Choose
No
Yes
*
If so, please describe:
Court Mandated:
School:
DHHS:
Other:
Background Information
Have you been convicted of a felony?:
Choose
No
Yes
*
If so, please describe:
Emergency Contact Information
1
2
First name:
*
First name:
*
Last name:
*
Last name:
*
Home phone:
Home phone:
Cell phone:
*
Cell phone:
*
Relationship:
Choose
Aunt
Brother
Co-worker
Daughter
Father
Friend
Grandparent
Mother
Neighbor
Sister
Son
Spouse
Supervisor
Uncle
*
Relationship:
Choose
Aunt
Brother
Co-worker
Daughter
Father
Friend
Grandparent
Mother
Neighbor
Sister
Son
Spouse
Supervisor
Uncle
*
References
Please list two references(who are not family) and their
contact information.
1
2
First name:
*
First name:
*
Last name:
*
Last name:
*
City:
City:
Home phone:
Home phone:
Cell phone:
*
Cell phone:
*
Relationship:
Choose
Aunt
Brother
Co-worker
Daughter
Father
Friend
Grandparent
Mother
Neighbor
Sister
Son
Spouse
Supervisor
Uncle
*
Relationship:
Choose
Aunt
Brother
Co-worker
Daughter
Father
Friend
Grandparent
Mother
Neighbor
Sister
Son
Spouse
Supervisor
Uncle
*
The MSSPA works with applicants to find the right fit between available volunteer opportunities and the skills of volunteers. If possible, and after a volunteer interview and orientation, volunteers receive assignments; if not, the MSSPA thanks applicants for their interest. The MSSPA cannot and does not guarantee that every individual who expresses an interest in volunteer service will receive an assignment. The MSSPA recognizes your right to discontinue your volunteer service at any time for any reason. Whenever it is deemed to be in the best interest of the organization, the MSSPA also reserves the right to discontinue the volunteer service relationship. Volunteers shall not receive or expect to receive any form of payment for volunteer services contributed to the MSSPA. By electronically signing this application you acknowledge that all information provided is true and accurate to the best of your knowledge.
Thank you for your interest in volunteering at Maine State Society for the Protection of Animals. We will be in contact with you soon!
I Agree
Continue