Shelter Volunteer App

Montgomery County SPCA

SPCA Rd, PO Box 484, Amsterdam NY 12010

518/842-8050  www.mc-spca.org  facebook  info@mc-spca.org

VOLUNTEER APPLICATION

The Montgomery County SPCA (MCSPCA) is a non-profit charitable organization funded primarily through donations. Our purpose is the prevention of cruelty to animals, the promotion of education of current and potential pet owners about responsible pet ownership. We welcome the participation of those willing to represent our organization in accordance with our mission and philosophies.

Please print legibly, so that your information is recorded correctly into our database:

Name ________________________________________________

Address __________________________________________City___________________ Zip________

Phones (Home:) ________________(Work:) ________________ (Cell:) ___________________

E-mail (please print legibly)________________________________________________________

Employed at ___________________________________________________ Retired_____

Allergies or Physical Restrictions _________________________________________________________

Year of Birth _____________________

Why do you want to volunteer at the MCSPCA _______________________________________________

_____________________________________________________________________________________

Are you volunteering to acquire hours for school? _______

Are you volunteering to acquire hours for alternative community services? ____

Have you volunteered for other animal welfare organizations? _______

If yes, what organization(s) did you volunteer at? ____________________________________________________

Please list any pets you currently own (or have owned in the past) so we may know what kind(s) of animals you are comfortable with:

_____________________________________________________________________________________

Would you be willing to volunteer off the MCSPCA premises? (for example to represent the MCSPCA at an outside event)  Yes   No

Can we add your name to our email list for MCSPCA’s monthly newsletter? ________

In case of emergency, please contact:

Name: ___________________________________Relationship to you: ______________________

Home phone: ________________Work phone: ________________

Cell phone:______________________________________

¨ The MCSPCA recommends that all volunteers be current on their tetanus vaccination.

¨ Confidentiality: Your information will not be shared, except in the case of another staff member or volunteer wishing to reach you for a work-related purpose. All volunteers are expected to maintain confidentiality of any personal information of members, customers, staff or volunteers which they encounter in the course of their work here.

Notes: Please let us know about your skills, experience and interests that would be relevant to the shelter

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Job selections (please circle):

Walking dogs ~ Bathing dogs ~ Socializing cats ~ Grooming cats

Cleaning dog kennels ~ Cleaning cat cages ~ Washing Dishes

Washing/Folding Laundry ~ Washing floors ~ Washing walls

Mowing lawn ~ Snow clearing ~ Cleaning van ~ Computer data entry

Off-site Adoption clinics ~ Fundraising events

Time commitment (the commitment is for two hours one day a week):

Please circle the day(s) you are available to volunteer (it will help us place you when you are most needed):

Sunday ~ Monday ~ Tuesday ~ Wednesday ~ Thursday ~ Friday ~ Saturday

Starting at 8AM to 4PM, what timeframes are you available?

____________________________________________

Volunteers are most needed in the early morning.

I will notify the shelter staff member in case of necessary absence, and I will notify the Shelter Manager of my intent to discontinue this time commitment.

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 Montgomery County SPCA policies and carry out my duties as a volunteer effectively. I understand that I must be at least 14 years old, to volunteer on the shelter premises.

SIGNATURE ________________________________________________ DATE ______________

Thank you for your interest in volunteering. You will find it rewarding.