| * denotes a required field |
Personal Information |
| * First Name: |
|
| * Last Name: |
|
| Street Address: |
|
| City: |
|
| State: |
|
| * Zip: |
|
| Home Phone: |
|
| Cell Phone: |
|
| Home Fax: |
|
| * E-mail: |
|
| Would you like to be added to our Volunteer E-newsletter mailing list?: |
|
| Best way and time to reach you: |
|
| Occupation: |
|
| Employer: |
|
| Business Phone: |
|
| Business Fax: |
|
| City/Area of San Diego where you work: |
|
| Does your Employer have a matching charitable contribution program?: |
|
| Does your Employer have a Corporate Volunteer Policy?: |
|
| Are you over 18?: |
|
| Month Born: |
|
| Emergency Contact: |
Alternate name - you will be the first one we contact. |
| Emergency Phone: |
|
| Emergency contact's relationship to you: |
|
Questionnaire |
| How did you hear about FOCAS and its volunteer program? (Please be specific.): |
|
| In addition to your love of animals, why do you want to become a FOCAS volunteer?: |
|
| Do you have any pets now? (Breed, age, sex, spayed/neutred): |
|
Describe your experience with these animals: Dogs: |
|
| Dogs 50 lbs. or over: |
|
| Cats: |
|
| other: |
|
| Describe any present or previous volunteer experience: |
|
| Describe any experience working with the public: |
|
| Describe any special skills you possess, for example animal care, fundraising, computer-related: |
|
Areas of Interest |
| Animal Care: |
|
| Fund Raising & Community Relations: |
|
| General Office: |
|
| Transporting Animals: |
|
| Make/Model of Vehicle: |
|
Availability |
| Availability: | |
| Number of days per month that you are willing to volunteer: |
|
Community Service Requirement |
| Community Service Requirement: |
|
| Name of Organization: |
|
| Name of Contact for program: |
|
| Telephone Number: |
|
| Mailing Address of Program Contact: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Number of Hours Requried: |
|
| Date hours must be completed: |
|
| Was your community service court ordered?: |
|
| When will you be able to begin community service?: |
|
| How long do you plan to do community service?: |
|
| Are there any restrictions, such as your work schedule, taht may affect your ability to perform community service?: |
|
| Do you have reliable transportation?: |
|
| Driver's License Number: |
|
| State Issued: |
|
| Exp. Date: |
|
| Do you plan to continue your volunteer service upon completion of your required service?: |
|
| If yes, for how long?: |
|
Personal/Professional References |
| Reference 1: |
|
| Street Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Phone: |
|
| Cell Phone: |
|
| Relationship: |
|
| Years Known: |
|
| Reference 2: |
|
| Street Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone: |
|
| Cell Phone: |
|
| Relationship: |
|
| Years Known: |
|
| |
|