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Animal Rescue Volunteer Application Form
Please fill the form carefully
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Step 4
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Full Name:
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First Name
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Last Name
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Date of Birth:
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The value must be less than or equal to 2147483647
Age:
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The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Email id:
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Please enter valid email address
Mobile No:
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Address:
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Address Line2
Land Mark
City
State
Country
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
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Zip Code
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Next
Employer/Job Title:
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May we contact for reference:
Yes
No
N/A
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If yes, please provide name and contact number of employer:
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Allergies or physical restrictions:
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How did you hear about The Last Resort Rescue:
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Why do you want to volunteer at The Last Resort Rescue:
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Do you work with any other rescue organizations:
Yes
No
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If so, please give contact information for that organization including name and contact number:
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Please list any pets you currently own (or have owned in the past):
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Animal Experience: (check all that apply):
Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Others
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Please specify:
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If you would like to comment more on your experience with the above, please do so here:
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Other Experience, Special Skills, Strengths, Talents: (check all that apply):
Computers
Management
Crafts
Working w/children
Graphic Arts
Woodwork/Carpentry
Painting
Photography
Writing
Secretarial
Fund-raising
Public Speaking
Others
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Please specify:
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If you would like to comment more on your experience with the above, please do so here:
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Volunteer Work Preferences: (check all that apply):
Shelter cleaning
Pet Transport
Dog Walking
Clerical/Office
Foster care (please fill out foster app)
Computer/Website
Special Events
Educational Programs
Community Outreach
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When are you available to volunteer(check all that apply):
Weekdays
Weekends
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Would you be willing to volunteer off the shelter premises:
Yes
No
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Reference #1 (Name, contact number and relationship to self):
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Reference #2 (Name, contact number and relationship to self):
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Any Additional Comments:
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In case of emergency, who should we contact name, number:
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