First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone

Cell Phone*

ASVT requires adopters to be 21 years of age or older. What is your birthdate/age?*

TX Driver's License (or Texas ID) number:*

Please provide ASVT with an emergency contact name & phone number*

Your emergency contact's relationship to you:*

Your Profession:*

What are your areas of volunteer interest?
Choose all that apply: Adoption Events/Meet and Greets Data Management/Computer Fostering - Please submit a foster application Fundraising Transportation (from shelters to foster homes, to/from medical appointments, to/from adoption events) Vaccinating Foster Animals Website/Social Media Maintenance

Do you have any past experience as a volunteer?*

Do you have any special skill sets or experience that you would like to utilize? (example: marketing background)*

Have you ever been convicted of a crime against a person or an animal?*
Choose one: Yes No

Do you authorize ASVT to do a criminal background check?*
Choose one: Yes No

By submitting this form, I certify that the information entered on this form is true and correct to the best of my knowledge. If my request to volunteer is approved and ASVT discovers the information entered on this form is not true or correct, I understand that ASVT reserves the right to end my volunteer privileges. Please enter your name and the date you completed this form.*

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