To complete your online application to volunteer at the Morris Animal Refuge please complete the entire form below and click "Submit":

About You

 

Name*

 

Previous Name(s)    (Aliases, nicknames, etc.)

 

Address*

 

City*

 

State* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

 

ZIP*

 

Length of time you've lived at the above address:*

 

If you have not lived at the address listed above for at least ten (10) years, list enough previous addresses (number, street name, city, state and ZIP) to cover for at least the last ten years.

 

 

Current mailing address (if different from home address):

 

Mailing Address

 

City

 

State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

 

ZIP

 

Other Information

 

Date of Birth (Month/Date/Year)*

 

Social Security Number*

 

Email Address*

 

Home Telephone No.*

 

Work Telephone No.*

 

I am a PA resident:*

Yes
No

 

I have a current driver's license:*

Yes
No

 

Is your PA or other state driver's license under suspension?*

Yes
No

 

If yes, state reason for suspension:

 

Do you have any relatives employed by the Morris Animal Refuge?*

Yes
No

 

If yes, what is that person's name and relation to you?

 

List previous experience with pets below (identify species and any special skills):

 

Do you prefer to work with cats or dogs? Choose Option Cats Dogs No preference

 

When Are You Available?

Please select all that apply

 

Monday

Morning      Afternoon      Evening

 

Tuesday

Morning      Afternoon      Evening

 

Wednesday

Morning      Afternoon      Evening

 

Thursday

Morning      Afternoon      Evening

 

Friday

Morning      Afternoon      Evening

 

Saturday

Morning      Afternoon      Evening

 

Sunday

Morning      Afternoon      Evening

 

I certify that the statements made on this application are true and accurate to the best of my knowledge. I understand that false statements, either written or oral, may lead to the rejection of my application to volunteer at the Morris Animal Refuge.

 

 

** If you're having trouble submitting this form, don't forget to scroll up in case a required field was left blank. **