Clone of 4Keeps Animal Rescue - Volunteer Application

4Keeps Animal Rescue - Volunteer Application (non-foster)
Full Name *

First Name Last Name
Birth Date (you must 18 yrs over older) *

Month Day Year
Street Address Line 1 *
Street Address Line 2
City *
State *
Zipcode *
Phone Number

Area Code Phone Number
Cellphone Number *

Area Code Phone Number
E-mail address *
Best way to contact you: *

home phone cellphone email
How did you learn about volunteering with 4Keeps?

website newspaper ad student volunteer program other from a current volunteer, list who below-
If you selected "other", please list where you heard about 4Keeps:
Do you have experience with animals? *

Dogs/Puppies Cats/Kittens Other
If you DO have experience, please let us know what experience you have - be specific: *
Is there a particular time/day you can help ?

most weekdays anytime weekday evenings weekends anytime flexible
Please check all activities you are interested in:

Dog walking/kennel care at events cat / cage care at events greeting at events fundraising marketing grant writing event coordination transporting pets other, list below
If you selected "other", please let us know what else you may be interested in helping with:
How far are you willing to travel to help? (we hold events in OH and MI)
Emergency Contacts

Please list two:
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Cellphone Number

Area Code Phone Number
Relationship
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Cellphone Number

Area Code Phone Number
Relationship
4Keeps Animal Rescue

seeks to provide a safe and secure haven for its animal residents. In achieving this goal, 4 Keeps Animal Rescue requires all volunteers to attend an Orientation Seminar and to comply with all its policies and procedures aimed toward maintaining animal health and safety. These policies and procedures are provided in written form to all volunteers.
I understand that I will be required to sign a code of conduct form and complete a limited liability hold harmless agreement before I can volunteer *

yes no
Your typed name serves as your electronic signature: *
Date *

Month Day Year
Should be Empty:

4Keeps Animal Rescue - Volunteer Application (non-foster)

Emergency Contacts

4Keeps Animal Rescue