Volunteer Form

Please print this form, fill it out, and return it to:

        Action for Animals in Distress Society

        Unit 652 141-6200 McKay Ave.

        Burnaby, British Columbia,        

        Canada

        V5H 4M9

Fax:  604 431 7652

First Name:___________________________    Last Name:____________________________

Address:_____________________________________________________________________

Postal Code:_________________ Telephone: (Day)_______________  (Evening)____________

e-mail address:________________________________________________________________

Personal Information

Do you work?_______ Full Time?_______ Part Time?_______ Do you own pets?____________

If so what types and how many?___________________________________________________

Have you worked with animals previously?  If so what experience do you have (when and where)?

____________________________________________________________________________

____________________________________________________________________________

What type of animals are you prepared to work with, if and when necessary? _________________

Would you be available to pet sit/ dog walk? _________________________________________

Are you available to assist at fundraisers and special events? ______________________________

Hobbies and Interests? __________________________________________________________

Skills?_______________________________________________________________________

References (Please provide 3) ____________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Additional Comments?__________________________________________________________
___________________________________________________________________________

___________________________________________________________________________

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