ASAP's New Volunteer Application Form

Hello!

Thank you for your interest in volunteering with ASAP Cats, your application has been submitted!

We conduct volunteer orientations on the first Wednesday evening of every month. Once we have reviewed your application we will reach out to you with your next steps.

Again, thank you for applying to volunteer with ASAP Cats, we appreciate your support for our mission!

Elizabeth Jimenez

Volunteer and Foster Coordinator

About You

Please provide us with this information about you.

First name:

Last name:

Title:

Nickname:

Type:

Kind:

Individual Group

Group name:

Street 1:

Street 2:

City:

State:

* Zip: *

Your phone:

OK to call me here

Email address:

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

Current Student?:

Do You Have a Felony Conviction?:

Do You Have Medical Insurance:

Date of Last Tetanus Shot:

Employer name:

First name:

Last name:

Work phone:

OK to call here

Email address:

Are you seeking to earn community service hours? If so, please explain.

Your Demographic Information

You may optionally provide most the following information. We ask your age as some of our opportunities are limited to certain age groups. Other demographic information is used only to help us with seeking additional funding for our programs. Your identity will be kept confidential.

Date of birth:

(year optional)

Age:

Gender:

Education:

Ethnicity:

Your Emergency Contact(s)

In the event of an emergency, whom should we contact?

1

2

First name:

Last name:

Nickname:

Cell phone:

* OK to call here

Cell phone:

* OK to call here

Email address:

Relationship:

Do you have any medical issues or anything else you would like us to know in case of an emergency?

Your Availability

Please indicate the days and times you are usually available to volunteer (it is not necessary to fill this out if you are interested in Fostering). Also, let us know which Assignments interest you at this time- please check as many as apply.

Your Qualifications & References

Please let us know about your skills and experiences to help us match you to your Assignment(s)and provide names and contact information for one unrelated reference.

How Did You Hear About Us?

Where did you hear about the ASAP Cat Shelter and our Volunteer Opportunities?

I Agree

The information I have provided in this application is true to the best of my knowledge. I agree to allow ASAP or Santa Barbara County to verify any information as part of my application to volunteer. I understand that this application does not constitute acceptance into ASAP's volunteer program or any agreement between me and ASAP and/or Santa Barbara County.

I Agree