Volunteer Application Form

Please complete this application form if you are interested in becoming a Cape Cod Disaster Animal Response volunteer. Once you complete the form, click the submit button at the bottom.

Contact Information

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

Cell phone:

OK to call me here

Email address:

1

2 Demographics

You may optionally 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:

* (year optional)

Age range:

Gender:

Skills & Experience

Please check any and all that apply to your strengths/areas if expertise.
Check all that apply

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Title:

Street 1:

City:

State:

Zip:

Home phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Relationship:

How did you hear about CCDART?

Service Requirements

Due to the unique and sensitive nature of the role that CCDART plays in our community, successful candidates will be asked to complete a thorough series of on-boarding and service requirements. By clicking "I accept" below you signify that you understand and are able to complete each requirement.

I Agree:

Interview

Successfully pass a screening interview with CCDART's volunteer coordinator.

I Agree:

Commitment

Commit to volunteer for at least two 12-hour shifts (possibly more) when called upon to assist CCDART in our commitment to our communities.

I Agree:

Membership Fee

Pay a membership fee of $25 annually, due and payable July 1.

I Agree:

Orientation

Complete a 2-hour orientation with our CCDART Response Leads.

I Agree:

Responding to an Emergency

Becoming a member of the CCDART Team involves volunteering during an actual, active emergency and while CCDART does its best to prepare all of our volunteers to be safe, ready and capable - there are situations that arise that are out of our control and our volunteers will need to respond quickly, follow instructions as given by their Lead, see potentially uncomfortable situations and be able to continue with their duties in those situations.

I Agree:

I Agree

I understand and agree that submitting this application form does not automatically register me as a Cape Cod Disaster Animal Response volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures 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