Fort Wayne Animal Care & Control Volunteer Application
Please fill out the following form so we can find the best role for you at the shelter.
Full Name*
First Name Last Name
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
E-mail*
Phone Number*
Area Code Phone Number
Volunteers must be at least 18 years old - are you over 18 years old?*
Yes No
Have you ever been convicted of or pleaded guilty to a felony?*
Yes No
Are you willing to submit to a background check including drug screen and police check?*
Yes No
Are you interested in volunteering to complete community service hours?*
Yes No
How many community service hours do you need to complete?
Below is a list of the positions we offer our volunteers to assist with. While we do try to accommodate first choice preferences it does come down to what positions we need the most help with and who would be the best in that position. Please check all that apply so we can learn more about your interest in the various positions available.

To help us know your availability, please indicate what days of the week you are available to volunteer.
Yes No Maybe
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
To help us know your availability, please indicate what times you are available to volunteer.
Always Sometimes Never
Mornings
Afternoons
Evenings
Weekends
Please list two references that are not family members (name and phone):*
Please list an emergency contact and their phone number:*
What animals do you have experience with? (Check all that apply)
Dogs Cats Small Animals Reptiles
Tell us more about your personal pets/experience with animals:
Besides your love of animals, what would you like to get out of your volunteer experience?
Do you have any special talents or hobbies? (Baking, sewing, animal grooming, etc.?)
How did you learn about volunteer opportunities at Fort Wayne Animal Care & Control?
Facebook Website Friend/Family Member Radio/TV Newsletter
I certify that the statements made in this application are true and correct and have been given voluntarily. I understand that Animal Care & Control may require me to have a drug screen, that they may do a police background check and I am willing to submit to both. I understand that this information may be disclosed to any party with legal and proper interest, and release Animal Care & Control from any liability whatsoever for supplying such information.*
I agree

Fort Wayne Animal Care & Control Volunteer Application

Part 2: Fort Wayne Animal Care & Control Criminal Check Authorization