LACC Volunteer Application

THANK YOU for your interest in volunteering with Lafayette Animal Control Center. Tails are wagging and cats are meowing in excitement over your participation! Volunteers play a vital role within our organization. Without your support, we would not be able to assist nearly the number of animals that need help in our community.

Please complete the Volunteer Application below (you must be over 18 years of age to participate in the volunteer program). Select the volunteer activities that interest you the most. Upon receipt of your application, I will notify you of the dates for our next Volunteer Orientation, on the activities you can choose, additional training may be required in some cases. You may complete the application on the computer, save it, and email it to me. If you'd like a hard copy to print out and fill in by hand, I will be happy to send one or you can access it from the link above. Thank You again for your interest in Lafayette Animal Control Center.

Date:

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Name:

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Street Address:

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City:

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State:

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Zip:

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Email Address:

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Date of Birth:

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Home Phone:

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Cell/Alternate Phone:

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Do You have a valid Driver's License?

Driver's License Number

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Have you ever been convicted of a crime causing harm to a person or an animal?

If Yes, Please Explain:

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Do you have any physical or emotional condition that might hinder your volunteer service, or require us to provide you with extra assistance or supervision?

Education/Experience:

Can you read and comprehend information at a ninth grade level or above?

Occupation:

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Humane Society/Rescue affiliations, Student Affiliations:

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Special skills or Experience working with animals:

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Why do you want to volunteer at Lafayette Animal Control Center?

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Volunteering:

Can you commit to atleast 3 months of Volunteering?

Please check the volunteer opportunities in which you would like to participate:

Please check all the animals you are comfortable handling and working with:

List any other areas of interest not listed above:

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Please Indicate the time(s) you are available to volunteer:

Monday:

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Tuesday:

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Wednesday:

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Thursday:

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Friday:

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Saturday:

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Sometimes the dogs and cats pulled from LACC by rescues and in foster care need a ride to their vet appointments. Would you be willing to transport animals as part of your foster work?

    

I give permission to Lafayette Animal Control Center to verify any information given:
(Sign Volunteer's Name)

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Date of Signature:

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