Junior Volunteer Apllication

JUNIOR VOLUNTEER APLLICATION

AGE RESTRICTIONS: Junior Volunteers must be 16 or 17 years old to apply. If you are 18 or older, please fill out the Adult Volunteer Form. Please print legibly.

1. PERSONAL INFORMATION:

Application Date:______Date of Birth: ______

FirstName:______LastName: ______

Address:______City:______State:___Zip:______

Home phone:______Cell:______

Email address:____________

**Email is our primary point of contact with volunteers. Please print legibly.

2. EMERGENCY CONTACT:

Name: ______Phone: ______Relationship:______

3. ABOUT YOU:

Tell us about your experience with animals (such as volunteering, your own pets, pet sitting etc.) ______

______

Do you have any physical or psychological limitations or disabilities that might hinder you from participation in some activities (such as a heart condition, back injury, epilepsy, allergies, etc.)? YES or NO (circle one)

** MTAS does not discriminate against those with any of the above listed, we simply ask for your safety. **

If yes, please explain:______

______

Do you have any fears of specific animal types/breeds? YES or NO(circle one)

Please Explain: ______

4. HOW WOULD YOU LIKE TO HELP US? (check all that apply)

ANIMAL CARE

_____ CATS (includingsocializing, cleaning, feeding, grooming, laundry, greeting potential adopters)

_____ DOGS**(including walking, cleaning, feeding, grooming, laundry, etc.)

** Please note that we do not have any dog volunteer opportunities available at this time due to ongoing reconstruction of the kennel area. We will keep your information on file for future dog opportunities.

Special Events

___ Community Events (includes event promotion, set-up, staffing, clean-up)

***

I understand and agree that submitting this application form does not automatically register me as a Montclair Township Animal Shelter or Friends of the Montclair Animal Shelter 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. Attendance at orientation and training may be required. Approved junior volunteers must submit a signed Parental Authorization Form and liability waiver prior to any training.

By signing this form, I attest that (i) I accept the terms and condition outlined above and (ii) the information I have provided is true and accurate.

Printed Name: ______

Signature: ______Date: ______

********************************************************************For Office Use Only Reviewer Initials: ______Review Date: ______

Comments: ______

______

______

Database Date: ______

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Junior Volunteer Application 1-2-18