Volunteer Application Form

Please complete this application form if you are interested in becoming a Pocatello Animal Services volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

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

Email address:

Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Age:

Gender:

Education:

Employer name:

Availability

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

Emergency Contact

A contact in case of emergency is required.

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

References

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Information about your pet(s).

We love to hear about our volunteer's pets. What kind of pet(s) do you currently have?

Limitations

Do you have any limitations that we should know about and consider when assigning volunteer duties. (ie. allergies, physical limitations, mobility limitations...)

Why do you want to volunteer?

Are you seeking community service hours?

Pocatello Animal Shelter offers limited opportunities for court ordered, school required, and other required service hours. These opportunities are based on a first come first serve basis and subject to approval by the management of Pocatello Animal Services.

Do you need community service hours?:

Why are you seeking community service?:

How many hours do you need?:

For what reason/crime are you seeking service hours. (ie. senior project, stole phone, girl scout requirement)

I agree that the above information is to the best of my knowledge accurate and current. I give Pocatello Animal Services permission to contact any references provided as well as perform any necessary background checks.

I Agree