It is the mission of Pet Allies to aid companion animals of the Arizona White Mountains through spay/neuter programs, adoptions, placements, public education and working with other groups to ultimately stop pet overpopulation and needless death.

Our goals are to:

• abolish pet overpopulation
• secure quality homes for animals
• teach responsible animal care

PA encourages the participation of individuals who support the stated mission. Potential volunteers will be interviewed prior to placement. If you agree with our mission and are willing to be interviewed and trained, we encourage you to complete this application. The information on this form will help us find the most satisfying and appropriate job for you.

Name:

Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

E-mail:

Birthday (optional):

Emergency Contact:

Areas of Interest

We'd like to get an idea of which volunteer positions interest you. Sometimes there are no openings for particular volunteer positions, and sometimes circumstances - such as the hours you are available - make certain volunteer positions impractical for some individuals. Please check three volunteer positions that are your greatest areas of interest.

Fostering a pet in your home.

Grooming - bathing, brushing, combing animals.

Thrift Shop (Open Tuesday-Saturday, 10:00 a.m. to 4:00 p.m.).

Doing clerical support work (help with mailings, enter data onto computer data base, create forms and documents in Word), own computer and internet connection required.

Matching people with pets - adoption counselor (travel to offsite adoption events in Flagstaff and Phoenix, own transportation is required).

Humane Education - youth and teacher educators, writers, designers, artists, editors, youth mentors, animal/human educators, data entry, public liaison, etc. We currently need a volunteer to head up and form this program.

Transport pets - take pets from foster homes to the veterinarian and return pets to the foster homes. Own transportation required.

Staffing a booth at an event relating pet care information to the public.

Spay/neuter assistant. Make phone calls to clients to schedule assistance for low income families to have their pets spayed and neutered. Phone card provided.

Why are you interested in becoming a PA volunteer?

Describe any previous education or work experience with animals:

List present and previous volunteer work:

Current Employment

Employer:

Work Address:

City:

State:

Zip Code:

Job Title:

Work Phone:

Type of Business:

Work Hours:

Duties:

References:

List three references (other than relatives) whom we may contact in regard to your volunteering for PA.

Reference 1:

Address:

Phone:

Reference 2:

Address:

Phone:

Reference 3:

Address:

Phone:

Time Availability:

I can volunteer

hours per week or

hours per month.

Please indicate the days/times which you would be available:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Almost any Time

List any physical or medical limitations which would limit the type of volunteer activities you can do, i.e., pregnancy, back problems, etc.:

List any language(s) other than English that you are fluent in:

We would be interested in any further information you might wish to offer:

Liability Release & Waiver:

I understand that my participation with Pet Allies, Inc., is strictly on a volunteer basis. I understand that there are inherent risks associated with my volunteer activities, including the risk of personal injury resulting from animal bites and other animal behavior.
In exchange for Pet Allies' agreement to allow me to participate in its volunteer program, I hereby release Pet Allies, including its officers, agents, employees and volunteers, from any and all claims of liability of any kind whatsoever, including but not limited to claims of negligence and/or injury to me arising out of my participation in Pet Allies' volunteer program. I understand that by submitting this request I am waiving any and all claims of liability, including but not limited to claims of negligence and/or injury to me, against Pet Allies, its officers, agents, employees and volunteers, arising out of my participation in Pet Allies' volunteer program.

Minor Consent

The consent of a parent or guardian is required for a minor to take part in our volunteer program.

I agree to the conditions listed above:

Yes No