Test Form - Destitute Animals Shelter

Name

Telephone

Date of Birth

Address 1

Address 2

Town/City

Post Code

Date I would like to start

Emergency Contact Information (required)

Emergency Contact Name

Emergency Contact Telephone Number

Others areas of interest where you would be interested in volunteering

How may hours per week would you be available?

Please provide details of any relevant experience you may have

Do you have your own transportation?

Tetanus Declaration

**One of our responsibilities to you is to provide for your Health & Safety needs whilst you are here with us. Part of this responsibility is we need to ensure you are fully covered by an up to date tetanus inoculation. This is essential for anyone working with animals not just in the event of a serious bite but even the smallest scratch can in extreme cases allow the transmission of tetanus. Please ensure you have had a tetanus inoculation within the last ten years and keep your inoculations up to date for as long as you remain a volunteer here with us.**

I have read the above and declare my tetanus inoculations was carried out on:

For Health & Safety reasons please provide details of any medical/physical restrictions you may have (this information will be kept confidential)

Declaration

I confirm I am OK being added to the volunteer WhatsApp group and will respect all members and management

I confirm that I am over the age of 18

I agree to you contacting me with regards to my volunteer application

Volunteer Application Form (Test)

Emergency Contact Information (required)

Tetanus Declaration

Our Newsletter

Volunteer Application Form (Test)

Emergency Contact Information (required)

Tetanus Declaration

Our Newsletter

How Your Data Is Handled