2. Full Name*
4. Date of Birth*
   Date of Birth
5. Driver's License Issuing State*
   -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
7. Home Address*
9. City*
10. State*
11. Zip Code*
13. Employer
15. Email Address*
16. Phone Number*
18. Please list any other states/countries where you have lived in the past 10 years:
20. Please check all areas where you are interested in working at the shelter:*

    1. Walking Dogs
    2. Off-site Adoption Events
    3. Photographing Animals

    1. Playing with Cats
    2. Greeting Customers
    3. Bathing/Grooming Dogs

    1. Laundry/Dishwashing
    2. Other
22. How often would you like to volunteer?*

    1. <2 hours per week
    2. 2-4 hours per week
    3. 4+ hours per week

    1. Every other week
    2. Once a month
    3. When I have time

    1. I need school volunteer hours
    2. I need community service
24. Can I commit to volunteering for at least 6 months?*
    -- Select One --YesNo
26. Are you a current employee with the City of Edmond?*
    -- Select One --YesNo
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field