Volunteer Questionnaire

Name (First & Last): *
Address: *
City: *
State: *
Zip Code: *
Daytime Phone: *
Evening Phone: *
E-mail Address: *
Age: * 18 years or older
16-17 years, waiver required
12-15 years, parent/guardian and waiver required
Under 12, restrictions apply; please speak with the volunteer coordinator before continuing
I am interested in volunteering to help with: * Adoption center
Thrift store
Obediance/Behavior center
Foster care
Administrative...phone calls, filing
Transportation of animals throughout Kansas City area
Special events
Availability: * Weekends/Daytime
Weekends/Evening
Weekdays/Daytime
Weekdays/Evening
Special Events Only
Please list any special skills or experiences/education that you think we should know about:
Is your volunteer service a requirement for school or ordered by the courts? * Yes
No
If ordered by the court, please list your offense
Provide the name & phone number of your court ordered probation officer
Do you have any special medical, behavioral or developmental needs that we sholuld be aware of? * Yes
No
If yes, what are they?

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Thank you for taking the time to fill out The Pet Connection's volunteer questionnaire; this questionnaire helps us make use of our volunteers most efficiently. The volunteer coordinator will contact you to set up your orientation session. If you have any questions or concerns, please contact the volunteer coordinator by calling the adoption center at 913-671-PETS.