Street Address
City, State, Zip Code
Work Phone
Home Phone
Age 14-15 (must have parent/guardian volunteering with you at all times)
16-17 (may volunteer independently with signed consent of parent/guardian)
18 and older
How did you hear about CHA?
What interested you in becoming a volunteer at CHA?
Are you interested in helping these committees? Check all that apply.
Finance Fundraising Marketing Public Relations Operations Other
Are you interested in providing a foster home for:
Dogs/Puppies Cats/Kittens None
What kind of volunteer work are you interested in? Check all that apply.
Working with animals? Building Maintenance? Landscaping?
Office Work Other
When are you available to volunteer? Fill in the days/times you are available.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you have pets of your own? Yes No
What types of pets?
If you have pets, who is your veterinarian?
