West TN Animal Rescue Member Application
Salutation:	Mr. Mrs. Miss. Ms. Dr.
*First Name:
*Last Name:
Suffix:	CEO CLU CPA DC DDS DO DVM I II III IV Jr. MD OD PHD PharmD RN Sr. V VI
*Address:
*City:	*State: *Zip:
*Best Contact Number	(xxx-xxx-xxxx)
Alternate Phone:
*E-Mail Address:
*Verify E-Mail:

Volunteer Interests
Please click the box next to the activities which interest you. Once your application is approved, you will be added to a corresponding email list based on your choices. Move your mouse over the text for more information about what is involved with each activity.
	Dog Foster
	Cat Foster
	Dog Adopt-a-thon Staffer
	Cat Adopt-a-thon Staffer
	Fundraising & Event Planning
	Adoption Planning
	Animal Transporter
	Website Assistance
	Web Photography
	Education Planner

* Please list your current pets. Are they spayed/neutered? Please provide your vet's name/phone for reference.
* Why are you interested in joining WTAR?
* Describe any special skills, talents or experience you would like to offer our organization.
* Excluding traffic violations, have you ever been convicted of any criminal offense? If yes, please explain.
* How did you hear about our organization?
Additional Comments
Please provide any additional information relevant to this application.

Acknowledgment
	I understand that I am working as a volunteer and will not be compensated in any way. I understand that my work as a volunteer does not convey any rights or interests with respect to the animals I am assisting.
	I agree that I have not requested and have not been offered and will not receive any insurance of any kind for any accidents or injuries I may incur while working as a volunteer.
*I agree with the above terms.
I Do Not agree with the above terms.