ISPCA VOLUNTEER APPLICATION FORM 2014

National Animal Centre, Derryglogher, Keenagh, Co. Longford

NAME:______

ADDRESS:______

TELEPHONE: # M ______Tel:______

*E-mail: ______

(Note you must be over 16 years of age to volunteer at the ISPCA)

PLEASE COMPLETE THE QUESTIONS BELOW:

1.Do you have any experience working with animals? ______

2.Would you prefer administrative or animal work? ______

3.Please let us know which areas of volunteering interests you most.

We would kindly ask you to choose a maximum of 3 areas as this will identify the areas in which we need to recruit additional volunteers.

Kennel Volunteer / Stable Volunteer / Fundraising & Events
Dog Walker / Foster Parent / Office Assistant
Cattery Volunteer / Animal Re-homing Visitor / Maintenance work

4.What is your usual employment? ______

5.When would you be available to volunteer?

MonFri9am-12 Regular volunteer

TueSat12-3pm Occasional volunteer

WedSun3pm-5pm

Thurs

6.What would you like to achieve as an ISPCA Volunteer?______

______

7.Are you aware of the aims and policies of the I.S.P.C.A? ______

In the event of an emergency, who should we contact on your behalf?

Name ______telephone number ______

PLEASE PROVIDE THE NAMES AND ADDRESSES OF TWO REFEREES:

Name:Name:

Address:Address:

Telephone:Telephone:

Signed: ______Dated: ______

I have answered all questions to the best of my knowledge

The ISPCA cannot be held responsible for any injury or harm to any persons on ISPCA property or at an ISPCA event. People entering the property or attending ISPCA events do so at their own risk. The ISPCA will do everything within its power to prevent injury or harm to any persons.

Please forward completed forms to Kelley Hynes, Volunteer Co-ordinator, ISPCA National Animal Centre, Derryglogher, Keenagh, Co. Longford. Email: , telephone 087 9539769 or fax (043) 33 25024.

Visit our website for further information about the ISPCA and how volunteers can help.

Thank you for your support. It is greatly appreciated

*Please note that if you provide your e-mail address we will use it for sending you receipts and keeping you informed of our work. Your information may also be used by the ISPCA to advise you of other activities and initiatives which may be of interest to you.

If you do not wish to receive such information/newsletter, please tick here [ ].

We sometimes allow other organisations whose aims are in sympathy with our own, or whose offers will benefit animal welfare, to contact our supporters. If you wish to receive this information, please tick here [ ]