Surname;                                                     Forenames

Address

Postcode

Tel No                                                                                              Mobile

Age Group     Over 18            Over 25            Over 40            Over 60            Over 75

(Information required for insurance purposes)

Do you have your own transport?                   Yes/No

Do you hunt animals?         Yes/No                    Do you support hunting ?      Yes/No          

Have you previously been involved in any voluntary activity?                     Yes/No

Do you work with any other animal welfare organisations?                        Yes/No

Please indicate below any relevant experience and/or qualification which you think we

may be able to use:

Are you aware of any medical condition that may affect your ability to volunteer for

the RSPCA,  ie asthma walking difficulties?       Yes/No

(if so please give relevant details and an indication of how we can make it easier for

you to assist us.

Please specify the amount of time you may be able to dedicate e.g. 1 day per week etc

Please give the names and addresses of two people who would be prepared to provide

the Society with a personal reference.  

These people should not be related to you.

Name:

Address:

How are they known to you?

Please tick the jobs you are interested in

8.30 – 10.30        Help clean out rabbits and guinea pigs*

11.30 – 12.30      Help clean out rodents

                            Help with feeding/cleaning birds, feeding rodents etc

1.30 – 3.30           Help with grooming rabbits & generally handling

3.30 – 4.30          Help with putting the guinea pigs away*

Cats

8.30 – 12.30        Cleaning insides & outsides of the cattery*

11.30 – 12.30      Washing bowls, refilling trays, preparing feeds, cleaning pens etc

1.30 – 4.00          Washing bowls, refilling trays, preparing feeds, cleaning pens etc

Kennels

8.30 – 12.30        Help with cleaning kennels*

11.30 – 12.30      Socialising & Exercising dogs

12.30 – 4.00        Socialising & Exercising dogs

Reception

Signed ............................................                                                         Date .........................

DATA PROTECTION

Please note when completed this form will be kept securely at the Centre.