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LUCAS Volunteer Application


Let Us Consider Adopting Strays

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Contact Information
* First Name:
* Last Name:
Address:
Address2:
City:
State:
Zip:
* Home Phone:
Cell Phone:
* Email:
* Confirm Email:
 
Availability
During which hours are you available for volunteer assignments?
Weekday mornings
Weekend mornings
Weekday afternoons
Weekend afternoons
Weekday evenings
Weekend evenings
Interests
Tell us in which areas you are interested in volunteering
Administration
Events
Liaison to Rescue
Fundraising
Distribution
Phone bank
Montclairion Articles
Volunteer coordination
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports, that you would be willing to share.
Previous Volunteer Experience
Summarize your previous volunteer experience.
Person to Notify in Case of Emergency
First Name:
Last Name:
Address:
Address2:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Confirm Email:
 
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
* Name:
* Date: (mm/dd/yyyy)
 
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.