Volunteer Application

Thank you for your interest in volunteering with Panacea Animal Wellness Sanctuary (“PAWSaz”) at our adoption center, The Rescue Pawtique. As a non-profit animal welfare organization, we rely on community support of our efforts to provide a safe haven for domestic animals at risk of homelessness or euthanasia. Volunteers who are able to offer their time, compassion, and commitment help us save more animals lives.

In order to be considered as volunteer, you must:

Ø  Provide proof that you are at least 18 years of age.

Ø  Commit to serve a minimum of 8 hours per month

Ø  Be of sound judgment, composure and the ability to represent to PAWSaz in a knowledgeable and professional manner at all times.

Ø  Be in alignment with PAWaz’s mission and core values

What is your Name?
Please indicate your mailing address, street, city, state and zip code.
Phone Numbers: / What is your home phone number? / What is your cell phone number? / Is there another number where we can reach you?
Please indicate your email address. / Please indicate your birth date.

To help us get to know you, please tell us why you wish to volunteer at The Rescue Pawtique?
______
______

Have you worked with animals in the past, or currently? YES__ NO __ If yes, where?______

Days and Times Currently available: Check those times which you may be available

AM PM AS NEEDED/COMMENTS

Sunday 10-2 2-6 5-9

Monday 9-1 1-5 5-9

Tuesday 9-1 1-5 5-9

Wednesday 9-1 1-5 5-9

Thursday 9-1 1-5 5-9

Friday 9-1 1-5 5-9

Saturday 9-1 1-5 5-9

Do you consider yourself:

experienced DOG person (current or previous dog owner)

somewhat experienced with DOGS

novice DOG person

experienced CAT person (current or previous cat owner)

somewhat experienced with CATS

novice CAT person

What breed(s) are you experienced with?: ______
Animal History
If you currently have animals in your home, please fill out the below section:

Please list the following regarding current animals in your home: Type (dog, cat, etc.), Breed/Mix, Sex, Age, Where obtained,
and whether or not the animal is spayed/neutered.

So that we can ensure all animals are properly cared for, we ask that our volunteers honor all shifts for which they have committed. Are you able to contribute at least 8 hours of scheduled volunteer service each month? YES ___ NO ___
An adoption center environment can be fast-paced and demands adaptability. Please describe your ability to be adaptable and to accept constructive feedback. ______

If applicable, give one example of a time you received excellent customer service in a retail setting: ______
______
Helping the animals requires good people skills, as it is people who adopt, volunteer, spay & neuter their pets, and donate to shelters. Likewise, many of our volunteer positions require heavy interaction with the public. Please describe your overall style of interacting with others. ______
______


PERSONAL REFERENCE:
Please list two references, other than family members

Name:______Relationship:______

Phone Number: ______How long known:______
Name:______Relationship:______

Phone Number: ______How long known:______

Current Employment:
Employer: ______
Address: ______
City/State/Zip:______

Phone: ______

Job Title: ______

Summary of responsibilities: ______

Have you ever been convicted of a misdeameanor? YES __ NO __ If yes, please explain: ______
______
Have you ever been convicted of a felony? YES __ NO __ If yes, please explain: ______
______
*Please note that a misdemeanor related to violence, theft or drugs, or a felony of any kind, is a disqualifier for participation in our volunteer program. Please also note that we cannot accommodate court-ordered community service.
Emergency Contact

Name: ______Relationship to you: ______
Address: ______Phone: ______

Is there anything else you would like us to know?
______

______

I am at least 18 years of age. All of the information I have given is true and complete; I understand that any misrepresentation of facts may result in PAWS terminating my volunteer status if engaged. I understand that PAWS has the right to reject my application.
*** There is a $10 fee for all new volunteers to cover the cost of a t-shirt, name tag and training materials.

Applicant Signature:


(1)______Date:______


Panacea Animal Wellness Sanctuary

Representative Signature:

______Date:______

**************************************************************************************************************************************
PAWSaz USE ONLY
Public records: ______AZ DPS Website Checked: ______
Orientation Scheduled:
Orientation attended:
Tshirt Size: