JSPCA Animals' Shelter Volunteer Application Form

Thank you for expressing an interest in volunteering for the JSPCA Animals’ Shelter

1. Which type of voluntary work interests you?

Dog walking   O      Dog Socialising    O     Cat Socialising    O    Other     O

Please list any administrative skills e.g. working with the public, using a computer

2. Personal Details

 Title                      First Names                                        Surname                              

Address                                                                                                                          

Postcode                                            Occupation                                                       

Telephone Day                               Evening                              Mobile                      

Date of Birth                                E-mail Address                                                       

Have you ever owned a dog, cat, other animal      Yes    O                         No    O

(Please give brief details and dates of ownership):                                               

Do you have experience of Rescue dogs or cats?  Yes     O                     No     O

 (Please give brief details):                                                                                         

How much time could you give each week?           Hours per week                     

Would you commit to giving time on a regular basis?       Yes      O           No     O

If so, please state on which day(s) of the week:                                                       

Are you physically fit?                                                            Yes      O            No     O

Do you have any health conditions that could affect your ability to take care of our dogs, cats and animals?

     (Please give brief details):                                                                                        

3. References

Please supply the names and addresses of two referees and state in what capacity they know you (these should not be relatives or friends)

Name                                                       Name                                                   

Address                                                  Address:                                                   

      Occupation:                                             Occupation                                         

      Telephone No:                                         Telephone No:                                      

      Email Address                                          Email Address                                     

      Capacity:                                                  Capacity:                                             

The JSPCA Animals’ Shelter regrets that it is unable to process application forms without written references.

4. In an emergency, who should we contact?

Name                                                      Relationship                                          

Address                                                                                                                 

                                                                     Postcode                                       

Telephone No. (including full dialling code)                                                                      

5.    Criminal Convictions

Please declare any unspent criminal convictions registered against you:

(if none, please state “No convictions to declare”                                        )

6.    How did you hear about the JSPCA Volunteer Scheme?

7. Data Protection Notice

        We will use your information together with other information for administration and management purposes.   We will disclose your information to our service providers and agents for these purposes.  We may keep your information for a reasonable period in accordance with legal requirements if you cease to work for us.

By returning this form, you consent to our processing your sensitive personal data (such as data relating to your health or criminal convictions) for the above purposes.

You have the right to ask for a copy of your information and to correct any inaccuracies.  We may monitor or record communications for training and evidential purposes.

Thank you for completing the volunteer form.  Your application will be placed on file until a suitable volunteer position becomes available.

Print Name                                          Signature                                              

Date _                      

8. Supporting Statement

Please tell us why you would like to volunteer at the JSPCA Animals’ Shelter and what skills and experience you can bring to the role.