Volunteer Application

Name _______________________________________  Date of Birth _____________

Street Address _________________________________________________________

City, State, Zip _________________________________________________________

Home Phone ________________________  Work Phone _______________________

E-mail _______________________________________________________________

Employer/School _______________________________________________________

Occupation ___________________________________________________________

Time available to do volunteer work:

Days available:    Mon.    Tue.    Wed.    Thu.    Fri.    Sat.    Sun.
Time of day:    Morning    Afternoon    Evening
Time of year:    Winter    Spring    Summer    Fall

I would be available to work _____ hours per week / month (circle one)

I could start working on (date) ________________________________

I am interested in the following jobs:

Working with farm animals (feeding, cleaning, grooming)
Administrative tasks (computer work, mailings, etc)
Special projects (work parties)    Giving tours    Fundraising
Farm maintenance (mowing, fencing, working on barns, etc)

Other: _____________________________________________________________

Please describe any previous experience and your specific areas of interest:

____________________________________________________________________

____________________________________________________________________

Signature _______________________________________  Date ________________

Please mail your completed application and waiver form to:
Poplar Spring Animal Sanctuary, P.O. Box 507, Poolesville, MD 20837