Volunteer Questionnaire

Name

Address

Mobile phone number

Email address

Date of birth

Do you have any physical limitations we should be aware of? If so, please explain.

Do you need court-ordered community service hours or mandatory school community service hours?
YesNo

Emergency contact full name

Emergency contact phone

How did you hear about Feral Cat Coalition?

Are you a Doctor of Veterinary Medicine (DVM) or Registered Veterinary Technician (RVT)?
DVMRVTOther veterinary workerNone of these

Do you have any previous experience handling animals in a veterinary clinic setting? If so, please explain.

Do you have any previous volunteering experience? If so, please explain.

What do you hope to gain from volunteering with the Feral Cat Coalition?

Are you fluent in any language besides English?

I am available on the following days. (Check all that apply.)
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

I am available at these times of day. (Check all that apply.)
Morning/Afternoon Clinic Staff (9:30 am - 2 pm)Evening Trapper Staff (after 4 pm)

Personal reference full name

Personal reference phone

Personal reference email

Number of years acquainted

Have you ever been arrested for or convicted of a crime other than a minor traffic violation? If so, please explain.

By submitting this application, I certify that the information in this application is complete and accurate. Upon joining FCC as a volunteer, I agree to follow the policies and direction of the FCC board, staff and volunteer coordinators. I authorize FCC to use photographs/videos that include me while volunteering. I understand that at any time either FCC or I may terminate this relationship.