Please return this form to: North Beach PAWS, P.O. Box 962, Ocean Shores, Washington 98569

Name: _________________________________________________ Date: _________________

Mailing Address: ______________________________________________________________________

Street Apt. /Condo # City State Zip

Phone: home - _____________________ cell - ___________________

Best time to reach you? _______________ Email: ______________________________

When are you available to help us? Days: Sun___Mon ___Tue __Wed ___Thu __Fri ___Sat _____

What hours? Morning__________ Noon____________evening_____________

Would you like to work in all aspects: cats, dogs, garage sales, special events? Yes __ No___

I would only like to work with: Cats ___ Dogs __ Garage Sales ____ Special Events _______

Do you have any areas of expertise or interest you would like to pursue?_____________________

Have you ever worked at an animal facility? ____ Yes ____ No If so, where? ____________________

Would you be able to pick up an animal or transport an animal to the vet? Yes ___ No___

Have you ever trained an animal or participated in obedience training? Yes ___ No___

Are you volunteering to perform Community Service?Yes ____No___

If yes, to whom do you report? Name: __________________________ Phone: ___________________

How many hours per week? ___________ Other emergency number: __________________

Would you be willing to serve on a committee? ________ Yes _________ No

Would you be willing to help bake goodies for special events?Yes ____No___

Would you be willing to help with administrative and office type tasks? Yes ___ No___

Would you be willing to help where needed on an on-call basis? Yes ___ No____

Would you be willing to help with garage sales, pricing, sorting? Yes _____No___

North Beach Paws reserves the right to run a background check on each volunteer. We ask for your social security number to be put on a card and kept secure off premise without your other personal information.

After being used for this purpose it will be destroyed or returned to you at your request.

We also recommend that you have had a tetanus shot within the last ten years. Date of your last tetanus shot? ____________________

Thank you so much for your willingness to help abandoned animals. We will be contacting you soon.

Questions? Call Lorna Valdez 360-289-2924 Revised 12-06