First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Middle Initial*

What is the best time of day-night to reach you by phone?*

What is your date of Birth?*

Employment? Job title? How Long?*

How did you hear about us?*

What days-hours would you be available to volunteer?

Interested in fostering?

Interested in taking a dog for an 'outing'? (walking dog downtown etc)

Interested in volunteering at local events?

Interested in working at yard sales?

Interested in online yard sales or other sales?

Interested in transporting locally to vet visits or events?

Interested in transporting up to 200 miles?

Do you have your own vehicle? Size and type.

Interested in screening applicants for adoption and/or fostering?

Interested in doing home visits on prospective applicants?

Interested in working on web page or other technology oriented jobs?

Interested in photographing animals available for adoption?

Interested in designing brochures, flyers, other outreach materials?

Interested in other activities? Make suggestions!

I certify that the information entered on this application is true, and grant to Shelter Animals Advocates the right to verify my answers. Enter your name and today's date. After you submit the application you SHOULD immediately receive an email confirming your submission. If you do NOT receive an email call 803-334-1219.*