Student/Youth Volunteer Application 16 to 18 Years Old Personal InformationFirst Name* Last Name* Your Primary Email*We will use your email address to send you an auto-confirmation of your volunteer application submission. If you put in a fake email, we can't send you the auto-confirm that we've received your application. Your Primary Phone*Your Alt. PhoneYour 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 Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have reliable transportation?* Yes No Is this for a school project?* Yes No Due DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If so, number of hours needed Do you have experience with cats?* Yes No Other pets?* Yes No What kind?*I authorize Furry Friends to print and distribute this contact information to other volunteers.Your Initials (Confirming you've read and agree to your information potentially being shared among volunteers)* Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent/Guardian Consent/Acknowledgement for student/youth under age 18 If you are under 18 years of age, you must have your parent’s or guardian’s consent to volunteer. I understand that Furry Friends does not carry insurance to cover me or my child. I understand that there is a possibility of health or injury risk to humans and personal pets when caring for rescued animals and I hereby agree to hold Furry Friends harmless from any and all liability, damage or personal injury resulting from volunteer service. I give permission for Furry Friends volunteers to transport my child when necessary to complete volunteer service. I acknowledge that during my child’s volunteer service, questions will arise and discussions occur with volunteers regarding reproduction, spaying and neutering, animal abuse, cruelty and neglect, declawing, and euthanasia of animals and this is acceptable to me.Please initial confirming you have read and agree to the Parent/Guardian Consent/Acknowledgment.* Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 WE RECOMMEND ALL VOLUNTEERS IN CONTACT WITH CATS HAVE A CURRENT TETANUS VACCINATIONReferences (please provide three)Reference OneFirst Name* Last Name* Relationship* Contact Number*Email* Reference TwoFirst Name* Last Name* Relationship* Contact Number*Email* Reference ThreeFirst Name* Last Name* Relationship* Contact Number*Email* Student/Youth Volunteer PositionsPlease check all that apply:* HALFWAY HOUSE ASSISTANT: Halfway House (Cat Shelter) Assistant: One-two hour shift once a week , morning or evening; must follow HH procedures and protocols; must be dependable (the cats rely on you); willing to take direction; clean litter boxes; wash/dry bedding; sweep/vacuum/mop; feed/water; play/socialize with the cats. SPECIAL EVENTS: Setup/take down cages, tables, tent; staff a table at an event such as the Recycled Arts Festival; be friendly outgoing and professional. What other organizations have you volunteered for, and what were your duties?Will you make a 24-hour or three month commitment to Furry Friends?* Yes No When can you start?* MM slash DD slash YYYY What is your availability?* Sunday: AM Sunday: PM Monday: AM Monday: PM Tuesday: AM Tuesday: PM Wednesday: AM Wednesday: PM Thursday: AM Thursday: PM Friday: AM Friday: PM Saturday: AM Saturday: PM Please type your name (if under 18, Parent/Guardian name) in the following signature field. The information on this application is true and accurate to the best of my knowledge.Parent or Guardian Signature of Permission* Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have any comments?How did you hear about Furry Friends?NameThis field is for validation purposes and should be left unchanged.
