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COMMUNITY CATS
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Volunteer
admin
2013-02-14T08:59:20-08:00
Volunteer Application
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Phone
*
Cell Phone
Email
*
How did you hear about FixNation?
About You
Date of Birth
*
MM slash DD slash YYYY
Gender:
Female
Male
Education
Please select your highest completed level of education.
Some High School
High School
Some College
Vocational / Trade Degree
Associate Degree
Bachelor's Degree
Masters Degree
Doctoral Degree
Credentials
Certified Veterinary Technician (CVT)
Licensed Veterinary Technician (LVT)
Registered Veterinary Technician (RVT)
Doctor of Veterinary Medicine (DVM)
Doctorate (Non-medical)
Medical Doctor
Skills & Experience
In which of these areas do you feel you have moderate to excellent skill?
Please check all that apply.
Animal Care
Photography
Graphic Design
Event Planning
Public Speaking
Fundraising
Trap-Neuter-Return
Administrative Support
Marketing
Videography
Maintenance (Painting, Handyman)
Languages
Please select any language that you can read, write, and speak fluently.
Spanish
Korean
Tagalog
Armenian
Mandarin or Cantonese
Other
More about you...
Please tell us more about the skills and experience that you'd like to contribute to FixNation.
Availability
Day of Week
*
Please select any days that are convenient for you. Our clinic is open Wednesday-Saturday from 7am-5pm, but there are volunteer opportunities outside of these days and hours.
Monday
Tuesday
Wednesday (Clinic Open 7am-5pm)
Thursday (Clinic Open 7am-5pm)
Friday (Clinic Open 7am-5pm)
Saturday (Clinic Open 7am-5pm)
Sunday
Specific Days/Times/Opportunities
*
Please select any times that are convenient for you. Our clinic is open Wednesday-Saturday from 7am-5pm, but there are volunteer opportunities outside of these days and hours.
Monday - Tuesday (Outreach)
Wed - Sat, 9am-12pm (Clinic Assistant)
Weekends (Events)
Frequency
*
Please let us know how frequently you'd like to volunteer with FixNation. Selecting a frequency here does not commit you to any set time to volunteer.
Daily
Weekly
Bi-Weekly
Monthly
Project Volunteer
Specific Volunteer Opportunities
FixNation has the following specific volunteer opportunities available.
Please check any that you are interested in assisting with.
Educational Tabling
Temporary Foster
Transport
Submitting this application
Agreement
*
I understand and agree that submitting this application form does not automatically register me as a FixNation volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. By submitting this form, I attest that the information I have provided on the form is true and accurate.
I agree.