Foundation for the Care of Indigent Animals

Date of Application

PERSONAL / HOUSEHOLD INFORMATION

Your Name (First & Last): Address: City: State: Zipcode: Home Phone Number: Work Phone Number: Email Address: Employer: Cell Phone Number: Occupation:

FCIA HAS MANY VOLUNTEER OPPORTUNITIES
Please select YES for any of these opportunities you are interested in.

Foster home and/or potential adopter screening / home check(s) Transport pets to/from events, vet appointments, shelter to foster homes Fundraising Mailings, data entry and/or general office help (on an “as needed” basis) Off-site adoption events (dog handling, solicit donations, general assistance) Special events, fundraising, public relations, advertising Pick up donated items and deliver to foster homes (food, litter, supplies, etc.) Is there anything you prefer not to do? What days/hours are you available? How far will you travel?

Please select YES if you have the following equipment and/or skills to share:

Printing Copier Photography Telephoning Newspaper / Media contacts Grooming Computer Skills Please List:

If you are able to donate items, please select YES those that you can provide:

Grooming Supplies Pet Carriers Pet Food Pet Beds Cat Litter Other (anything that you believe will benefit FCIA) Please List: How did you hear about the FCIA Volunteer Program? Do you currently own any pets?

If Yes, please provide the following information about each pet:
If No, CLICK HERE to skip to the next section.

PET OWNERSHIP INFORMATION

CURRENT PET #1

Pet 1 Type (dog, cat, bird, etc.) Pet 1 Breed Pet 1 Gender Pet 1 Spayed/Neutered Pet 1 Licensed

CURRENT PET #2

Pet 2 Type (dog, cat, bird, etc.) Pet 2 Breed Pet 2 Gender Pet 2 Spayed/Neutered Pet 2 Licensed

CURRENT PET #3

Pet 3 Type (dog, cat, bird, etc.) Pet 3 Breed Pet 3 Gender Pet 3 Spayed/Neutered Pet 3 Licensed

CURRENT PET #4

Pet 4 Type (dog, cat, bird, etc.) Pet 4 Breed Pet 4 Gender Pet 4 Spayed/Neutered Pet 4 Licensed

CURRENT PET #5

Pet 5 Type (dog, cat, bird, etc.) Pet 5 Breed Pet 5 Gender Pet 5 Spayed/Neutered Pet 5 Licensed

CURRENT PET #6

Pet 6 Type (dog, cat, bird, etc.) Pet 6 Breed Pet 6 Gender Pet 6 Spayed/Neutered Pet 6 Licensed If you currently own more than 6 pets, please use this section below to provide the same details for each addtional pet:

What are you comfortable handling?

Best time to contact you:

Day(s) Time:

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