Volunteer Form Volunteer Form "*" indicates required fields Step 1 of 3 - Your Personal Information 0% Date* MM slash DD slash YYYY Are you 18 or over?* Yes No Email* Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Best Way to Contact You:* Best Time to Contact You:* Employer/School:* Occupation:* Emergency Contact Name and Relationship:* Emergency Contact Numbers (please provide all options):* How did you hear about SpayMart's volunteer program?* I'd like to volunteer as (if there is a specific position, please list it here):* Please list skills and experience here:* Are you currently volunteering for any other organization?* Yes No Other Please list your pets (type, breed, age):* Please list if each is spayed, neutered and vaccinated:* Acknowledgement (by choosing accept you agree to the following):* My participation with SpayMart is strictly on a volunteer basis, therefore no insurance against bodily harm is provided for me. I agree to release SpayMart from liability for any and all injuries or damages incurred during my participation in any program. Second ChoiceI agree to abide by the policies and procedures presented to me during volunteer training and as updated thereafter. I will take all suggestions and concerns directly to the Volunteer Coordinator or another senior staff member. If I find myself in conflict with employees or other volunteers, I will go directly to the Volunteer Coordinator for resolution. I will not engage potential adopters in conversations about an animal's health, previous owners, or suitability for adoption unless approved by a supervisor. I understand that my volunteer service may be terminated at any time at the discretion of the Volunteer Coordinator or a senior staff member. Select AllI acknowledgement that all the information provided is correct and I accept the above terms.* Yes No Other EmailThis field is for validation purposes and should be left unchanged.