Animal Shelter Volunteer Application

Given Name/s *

Family Name/s *

Phone *

Address *

Suburb *

Postcode *

State *

Email *

Confirm Email *

Emergency contact full name

Emergency contact phone

Emergency contact - relationship to you (eg family member, friend)

Are you taking any medication? *

Yes
No

Emergency medical treatment *

I authorise SSC staff to seek emergency medical treatment for me in case of an accident, injury or illness.

Medical history/allergies relevant to work in selected section/s (or n/a if not applicable) *

Your age range *

16-18 Must be accompanied by adult/carer over 18
18-30
30-50
50-65
65+

Adult/carer First name

Adult/carer Last name

Adult/carer phone

Adult/carer address

Adult/carer suburb

Adult/carer email

Your available days (choose as many as you like) *

Mondays - 10.30am to 2pm
Tuesdays - 10.30am to 2pm
Wednesdays - 10.30am to 2.00pm
Thursdays - 10.30am to 2.00pm
Fridays - 10.30am to 2.00pm
Saturdays - 9am to 2pm
Sundays - 10.30am to 1.00pm

What animals are you interested in working with? *

Dogs
Cats
Dogs and cats

Do you wish to be placed on council's Volunteer Register so that you can receive information about other volunteer opportunities that council may offer? *

Yes
No

Are you happy for photos of you to be included in various SSC publications? *

Yes
No

Please advise *

I am over 18 years old.
I am over 16 and will be accompanied by an adult.

Policies and procedures *

I agree to abide by all relevant council policies and procedures which will be advised at the time of induction and to all relevant directions form authorised council staff during my period as a volunteer.

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