Volunteer Application Form

Please complete this application form if you are interested in becoming a Northeast Animal Shelter volunteer. Once you complete the form, click the Continue button at the bottom.

Name, address, phone number, email

Please enter your full name, preferred name, address, phone number, and e-mail address.

Have you ever owned a pet?

Please list all species of pets you have owned.

Have you previously worked with animals?

Please indicate any experience you have working with animals.

Emergency Contact

Please list the name and contact information for at least 1 emergency contact.

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

Cell phone:

Relationship:

Are you able to commit to 4 months?

Please indicate if you are able to commit to the minimum of 4 months of volunteer service.

Availability

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

Medical and Disability

Please indicate if you have any allergies, medical limitations, or disabilities that may require accommodations while volunteering.

CORI Check

NEAS conducts a CORI check. Please indicate if you may or may not pass a CORI. (Items appearing on CORI's does not automatically disqualify you from volunteering but instead will be reviewed on a case by case basis.)

Special Skills or Training

Do you have any special skills or training that may help in the department you have selected?

References

Please list the name and contact information of at least 1 person who knows you well but is not related to you.

First name:

Last name:

Home phone:

Cell phone:

Relationship: