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Personal Information

Birthday
Month
Day
Year
Are you a US citizen?
Yes
No
Are you a member of the US Military?
Yes. I am active duty.
Yes. I am a veteran.
No.

Criminal History

Have you ever been convicted of a crime?
Have you been convicted of a misdemeanor within the past five (5) years (excluding minor traffic violations)?
Are you currently awaiting trial or facing criminal charges?

Animal Experience

Have you ever worked at a shelter or rescue?

Driving Record

Has your license ever been suspended or revoked?
Have you been convicted of driving under the influence (DUI), driving while intoxicated (DWI), or a similar offense within the past seven (7) years?
Have you had more than two moving violations or at-fault accidents within the past three (3) years?

Reference 1

Reference 2

Volunteer Requirements

Please read each statement and check each box to indicate your understanding and agreement.

Volunteer Acknoledgement

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Date
Month
Day
Year
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