Dorothy O'Connor Pet Adoption Center

Name:

Address:

City

State

Zip Code:

Phone Number:

Age and Date of Birth
(if under 18 years of age):

Email:

Are you affiliated with any animal related organization?:

Yes
No

If Yes, Please indicate the organization below

Organization's Name:

Address:

Phone Number:

Contact Person:

How long have you
been affiliated?:

Occupation:

Employer's Name:

Address:

Work Phone:

Emergency Information:

In case of emergency, whom should we contact?

Name:

Address:

Phone:

Choose the activities and times you would like to volunteer for.

Dog Walking:	None12 pm to 1 pm1 pm to 2 pm2 pm to 3 pm3 pm to 4 pm
Cat Cuddlers:	None12 pm to 1 pm1 pm to 2 pm2 pm to 3 pm3 pm to 4 pm

Have you ever adopted an animal from our shelter:

Yes
No

What kind of animal:

When:

Do you still have this animal:

Yes
No

If no, why not:

Please check the following activities that interest you most:

Carpentry or maintenance work – includes painting
Dog Walking
Dog Washing
Cat Cuddlers
Foster Care - Dogs and/or Cats
Marketing/Fundraising
Animal Assisted Therapy (nursing home visits)
Receptionist: 10am-5pm (Must be 18 years or older)
DOCPAC Van Driver (Must be 21 years or older)
Other (please specify)

Briefly describe any experience you have had in handling animals. (Include any information that will help to indicate your interest and experience with animals. For example: what pets, if any, do you have at home? Have you raised animals for 4-H or another service project? Trained animals professionally or as a hobby?)

New Volunteer