Volunteer Profile by 8034e1


									Volunteer Profile

The Finger Lakes SPCA is a not for profit charitable organization funded primarily through
donations. Our mission is the prevention of cruelty to animals and the education of current and
potential pet owners about responsible ownership. We welcome the participation of those willing
to represent our organization in accordance with our mission and philosophies.

Please complete the following form.

Street Address____________________________________________________________________
Town, State, Zip___________________________________________________________________

Home Phone____________________________ Cell Phone___________________________
E-mail Address__________________________ Business Phone (optional) __________________

Are you:       ________ 10-17 years old         _______ 18 years or older

Animal Experience:
 Small Animal Care_____                        Dog Obedience Training _____
 Large/Farm Animal Care_____                   Dog Agility Training_____
 Exotic Animal Care_____                       Animal Behavioral Training_____
 Pocket Pet Care______                         Wildlife Rehabilitation____
 Pet Sitting/Boarding________                  Breed Rescues____
 Grooming_____      Type of Animals___________________

Past Humane Society/ SPCA Services ______________________________________________
Past/Present Profession __________________________________________________________

Other Experiences, Special Skills, Strengths, and Talents:
 Gardening____                                      Painting____
 Sales____                                          Landscaping____
 Farm Equipment Usage____                           Supervision____
 Graphic Arts____                                   Carpentry____
 Clerical_____                                      Public Relations____
 Web Design ____                                    Writing/ Editing Articles for Publication____
 Photography____                                    Calligraphy____
 Computers____                                      Crafts____
 Writing____                                        Sewing____
 Teaching____                                        Special Events____
 Fundraising____                                     Grant Writing____
 Marketing____                                      Volunteer Development/Coordination____

Please indicate any specialized training, equipment, or resources you have. Mention anything else
you feel is of relevance: _______________________________________________________________
Describe any past or present volunteer positions you have held: _____________________________
     When are you available to volunteer?

                         MON         TUES        WED        THURS          FRI          SAT        SUN



     Circle one:       Every week        Every other week         Once a month            Special events

     How much time can you commit?
        Hours per week______ Hours per month______           or other_______

     Would you be willing to volunteer off the Humane Society premises?          Yes     No

     Would you be available in an emergency situation?      Yes       No

     Are there any restrictions on when you can be contacted at the number you have provided? No
     or    Yes __________________________________________

     Have you attended a volunteer informational meeting yet?        Yes           No

     Areas of interest (check all that apply):

                   Adoption facilitation                    Obedience training
                   Animal care and comfort                  Office support
                   Cat socialization                        Pet transport
                   Correspondence/thank yous etc.           Pet assisted therapy
                   Dog walking                              Photography
                   Foster care                              Pocket pets
                   Fundraising                              Rabbits
                   Gardening                                Receptionist
                   Grooming                                 Reptiles
                   Humane education                         Retail shop
                   Information desk                         Special events
                   Marketing                                Wildlife
           Public relations                           Thrift store
           Exotic birds                               Trucking/trailering SPCA supplies

Emergency Contact:
Name: ________________________________         Relationship: ____________________________
Phone number: _________________________

References that are not family members:
Name: ________________________________          Phone number: __________________________
Name: ________________________________          Phone number: __________________________

I, ____________________________________ , confirm that the information provided on this
application is correct. I understand the commitment involved and acknowledge that my services
are offered at my own risk. I agree to adhere to the Finger Lakes SPCA policies and carry out my
duties as a Humane Society volunteer to the best of my ability.
I give my permission to the Finger Lakes SPCA to verify any of the information given.

Signature ___________________________________________         Date _________________________

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