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2. RAS Volunteer Standard Operating Procedures
   /DocumentCenter/View/99/Regional-Animal-Shelter-Standard-Operating-Procedure-G-1-Volunteer-Program-PDF

   Please read through the volunteer S.O.P. before filling out your application. YOU MUST read the General Liability Release on pages 15 & 16. Please print and sign to bring with you on your start date. If you do not have a printer, please check below that you have read and understood the General Liability Release and you can sign it at the Shelter.
4. I have read and understand the General Liability Release on pages 15 & 16 of the RAS Volunteer Standard Operating Procedures*

   1. Yes, and I have them printed to bring with me to the Shelter
   2. Yes, and I will need to sign at the Shelter
6. Contact Information
8. Please Print:
10. First Name*
11. Last Name*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number*
20. Email Address*
22. How did you hear about the Regional Animal Shelter's Volunteer Program?
24. Skills & Interest
26. Educational Background*
27. Current Occupation*
29. Hobbies, skills, & interests*
30. Previous volunteer experience*
32. Have you had any formal training in animal care or animal welfare?*

    1. Yes
    2. No
33. Please describe:
35. Volunteer Goal*

    Please check all that apply:

    1. School credit
    2. Resume enhancement
    3. Court ordered/community diversion
    4. Socialization
    5. Contribution to community
    6. Animal Care and handling experience
    7. Seasonal
36. Preferences in Volunteering*

    To help us match you with assignments you enjoy, please check the types of volunteer activities that interest you. Check all that apply:

    1. Animal Care Assistant
    2. Office Assistant
    3. Adoption Counselor
    4. Animal Bather & Groomer
    5. Dog Exerciser
    6. Cat Comforter
    7. Special Events Volunteer
38. Are there specific tasks you are unable to perform due to physical limitations or personal preference?*

    1. Yes
    2. No
39. If so, please explain:
41. Do you understand that some animals are euthanized at the facility?*

    1. Yes
    2. No
42. Will you have any problems volunteering knowing this?*

    1. Yes
    2. No
44. Please explain:
46. Availability
48. Days Available:*
49. Times Available:*
51. Do you have reliable transportation for volunteer work?*
52. Additional Comments:
54. Background Information
56. Have you ever been convicted of a criminal offense?

    1. Yes
    2. No
57. Please explain:
59. Have you ever worked or volunteered for an animal welfare organization such as S.P.C.A., P.E.T.A., Humane Society, ect.? *

    1. Yes
    2. No
60. If yes, list name of organization(s):
62. Please list two non-family references whom we might contact:*
64. Please list all pets, livestock, or other animals that you or your household is responsible for:*
    List Species/Breed, Rabies tag #, and County License #
66. Date of Birth:*
68. The following certification is required by the Code of Virginia 3.2-6548.*

    I certify that I have never been convicted of any crime or misdemeanor involving animal cruelty, neglect, or abandonment.

    1. Yes
    2. No
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit Submit and Print

* indicates a required field