Adoption Center Application Adoption Center ApplicationName(Required) First Last Cell Phone(Required)PhoneYour Email Address(Required) Your Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Permanent Resident Yes No Are you at least 18 years old? Yes No Employment Status(Required) Employed Retired Part Time ResidentIf not full time – when are you here?Name of employerMedical condition of limitations of which we should be aware?Leave blank if noneEmergency contact name and phone number(Required)Please list any past or present voluneer experienceBriefly explain why you are interested in volunteering for HSBR(Required)Which day are you available Monday Tuesday Wednesday Thursday Friday Saturday Sunday What area are you interested in volunteering in? Cat caretaker Dog walker – applicant must be 17 years of age & meet all requirements & training sessions Foster Homes Disaster Volunteer-housing shelter animals/helping to prepare the shelter/phoning/emergency transport Assist with Adoption Thrift Store Volunteer (Assist customers, sort donations, price items and work under direct supervision of the Thrift Store Manager) Special Events volunteer (Golf Fundraisers, Taste of Blue Ridge, Soliciting Vendors, Manning Booths, etc.) Lawn care – Memorial Garden Skilled Trades (Electricians/Carpenters/Plumbers) General Handyman Δ
