Please complete this application form if you are interested in becoming a Los Angeles County Department of Animal Care & Control Volunteer. Once you complete the form, click the continue button at the bottom.


Personal Information

You must be 18 years or older to complete and submit this application online. If you are between the ages of 16-17, you must submit a printed application with the signature of a parent or legal guardian.

ONLINE APPLICATIONS RECEIVED BY MINORS WILL BE REJECTED.



Disclosure

Have you, as a juvenile or adult, ever been convicted, fined, imprisoned, or placed on probation or suspended, or have you forfeited bail in connection with any offense (except for traffic tickets which involved faulty equipment, parking, hand signals or speeding) in any civil or military court of law? Include convictions dismissed under Penal Code 1203.4 and any major traffic offenses resulting in a warrant. If yes, please explain:



Emergency Contact


Medical Insurance Coverage

New Federal laws require that individuals carry some sort of health insurance coverage. The County of Los Angeles does provide some limited medical coverage to support your medical coverage should you become injured. If you do not have medical insurance coverage, you may still become a member of our volunteer team.



Availability

Volunteers must be able to commit to a minimum 9 months for 2 hours a week or 8 hours a month. Please indicate days you are available to volunteer then select a duty that you are most interested in doing as a volunteer. Finally, select an Animal Care Center that you would like to volunteer for.



Disclosure

Have you, as a juvenile or adult, ever been convicted, fined, imprisoned, or placed on probation or suspended, or have you forfeited bail in connection with any offense (except for traffic tickets which involved faulty equipment, parking, hand signals or speeding) in any civil or military court of law? Include convictions dismissed under Penal Code 1203.4 and any major traffic offenses resulting in a warrant. If yes, please explain:



Experience


Skills


Agreement

I understand and agree that submitting this application form does not automatically ensure my acceptance as a Los Angeles County Department of Animal Care & Control Volunteer. There may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures and training before I may begin volunteering. I also understand that I may be subject to undergo a live scan background check.


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