VOLUNTEER

SIGN-UP

You can make a difference!

There are many ways you can get involved and help EPAA.
We are always in need of volunteers to help at our clinic during special vaccination clinics and
spay days and with event planning and fund-raising. As an added bonus, we have fun!
If you are unable to volunteer in person, please donate supplies to support our mission.
(List of needed supplies at bottom of page.)

If you are interested in becoming a volunteer with EPAA, please fill out the following form and
email it to us at epaaonline2009@gmail.com or mail it to us at the following address:
EPAA
P O Box 123
Sciota PA 18354

LAST NAME:

FIRST NAME:

EMAIL:

PHONE NUMBER:

STREET
ADDRESS:
CITY:
STATE:

ZIP:

EMPLOYER
3 REFERENCES

DO YOU OWN A
CAT OR DOG?
ARE THEY
SPAYED/
NEUTERED?
Do you have experience in any of the following?

ANIMAL RESCUE

yes
no

DOG GROOMING

yes

VET
ASSISTANT

yes

FUNDRAISING

yes

no
PET STORE
SALES

yes

KENNEL
ASSISTANT

yes

SALES/
MARKETING

yes

DOG TRAINING

yes

no

no
GRANT
WRITING

yes

LEGAL WORK

yes

no

no

no

no

no

no
DOG
BREEDING

yes
no

OTHER
(PLEASE
EXPLAIN)

Have you ever

been investigated
for or charged with
any crimes,
including crimes
related to
mistreatment of
animals?

Why are you

interested in
volunteering
for a group
dedicated to
promoting
spaying/
neutering?

What days are

you available to
volunteer?
How many hours
per week?

How did you

hear about
APAA?

I, ___________________________________, hereby agree to abide by all the terms and conditions in this questionnaire
during the time I am volunteering as a representative for EASTERN PENNSYLVANIA ANIMAL ALLIANCE. EPAA will not
tolerate any type of harassment including sexual harassment and will take all steps necessary to prevent any and all
harassment from occurring. I also agree to refrain from the use of vile, abusive or profane language while serving as
a volunteer for EPAA.
1. I will remember in all my dealings with the public that I represent EPAA as an organization.
2.. I understand all of the above and accept full responsibility for any and all expenses incurred by me during my tenure as a
representative for EPAA.
3. I agree to respond by phone or email to any person/fellow volunteer who contacts me regarding EPAA.
4. I further agree to keep records for EPAA of any paperwork ,
monies collected and expenses incurred for any project or fundraiser in which I participate.
5. I further agree that the EPAA Directors may request to view these
records at any time. In the event I resign, voluntarily or by request of EPAA, I hereby agree to turn any records/items in my
possession to EPAA within ten days of resignation or request date.
I have accurately completed this questionnaire and agreement, have read all terms and Conditions.

Signature __________________________________Date __________________________

SUPPLY DONATIONS NEEDED

Please donate supplies to help support our mission
IN HIGH DEMAND
- Gas cards for spaymobile
- Medium binder clips
- Electric blankets
- Heating pads
- Blankets and towels
- Distilled water
- Havahart traps for cats
- Large and kitchen garbage bags
- Pee pads

ALWAYS NEED
- Cat carriers
- Paper towels
- Labels 2x4''
- Address labels
- Scotch tape
- Laundry detergent
- Toilet paper
- Rubber backed rugs
- Windshield wiper solution for spaymobile
- Isopropyl alcohol
- Hydrogen peroxide