Volunteer Application

Name *
Address *
Home Phone *
Home Phone
Cell Phone
Cell Phone
What is the best way to contact you? *
Are you 18+ years old? *
Work Phone
Work Phone
May we contact you at work?
Have you ever been convicted of a felony? *
If so, was it an animal-related offense?
Do you currently own pets? *
Are they spayed/neutered?
(If you do not have a driver's licence, list N/A)
Do you have your own transportation? *
Would you be able to/interested in transporting animals?
If so, do you have auto insurance?
Please indicate what areas you would be interested in volunteering. *
Please list name, contact info, and relationship.
How did you hear about volunteering opportunities with Heartland?
These answers are correct to the best of my knowledge. I understand that by filling out this application it does not imply a status of being a volunteer for Heartland Small Animal Rescue.