Your Name:


Address:


City:


State:                     Zip Code:
       

Home Phone:


Work Phone:


Cell Phone:


Email Address:  


Do you have regular access to email? (Note that most volunteer
communication is done through email)
Yes No

Are you at least 18 years old?
Yes No

Employer and occupation?


How many people in your household, and their ages?


If you have any pets, what type and how many?


Are your pets spayed/neutered?
Yes No

Do you breed animals?
Yes No

How did you hear about the Kalamazoo Animal Rescue?


If you were referred by another volunteer, please provide their name.


Why are you interested in volunteering for KAR?


Do you have any special skills or work experience that you feel would benefit KAR?


Are there any duties you would prefer not to perform?


Are you willing to attend all required volunteer training?
Yes No

Any known allergies including animals, detergents or chemicals?
Yes No

Have you ever been convicted of a felony? If Yes, please explain.
Yes No


Have you ever been convicted of animal cruelty or neglect? If yes, please explain.
Yes No


Are you applying for court-ordered community service? Please note - KAR
does not provide volunteer opportunities to fulfill community service requirements.
Yes No