Adult Volunteer Application

Thank you for your interest in volunteering with Fancy Cats. If you become a volunteer with Fancy Cats, the information you provide will be kept on file and shared with other volunteers unless you choose NOT to have it shared (see below). We will not share your information with any other organization. Thanks for your willingness to contribute your time and effort to our cause of helping stray and unwanted cats!


First Name(*)

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Last Name(*)

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Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Primary Phone(*)

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Secondary Phone

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Email address(*)

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Please indicate if you give permission to share your contact information only with other volunteers:

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Employer Name

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Employer Phone

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Employer Address

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Employer City, State, Zip

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Supervisor Name

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Please check the activities you are interested in:




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Please check the location(s) you are interested in:




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These activities can be done from any location, but may require internet access:





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Please tell us about your background and experience in handling and caring for cats:

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Please tell us your availability (days/evenings/weekends):

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Volunteers for Fancy Cats Rescue Team often deal with members of the public, including children, who are interested in adopting cats. Accordingly, Fancy Cats asks that prospective adult volunteers provide the following information and at least two references. (Fancy Cats may conduct a background check on prospective volunteers, and may then require additional information from you, such as your Social Security number.)


Full Legal Name

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Other Names You Have Used:

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Date of Birth
/ /
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Please list addresses where you resided for the past five years:

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Please provide two references (other than family members):

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Have you ever been convicted of a felony?

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If you answered "yes", please provide the date of the conviction(s), the count(s), and the charges(s):

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Have you ever been convicted of a crime, other than a felony, involving or relating in any way to cruelty to animals, violence, misconduct with children, lying, cheating or stealing?

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If you answered "yes", please provide the date of the conviction(s), the count(s), and the charges(s):

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Have you ever been dismissed from or otherwise asked to leave a position of employment or volunteer position for your alleged misconduct with a co-worker, customer, client or other patron?

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If you answered "yes", please explain and provide the name and current telephone number of your former employer:

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I hereby certify that the information provided in this application is true and accurate.

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Date

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(*)

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