Community Service Or Volunteer Request - Griffin Pond

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Community Service
or Volunteer Request
Thank you for inquiring about Community Service at Griffin Pond Animal Shelter. We appreciate your interest in
our organization. While we make every effort to accommodate requests, not all are approved due to time constraints.
Name: _____________________________________________________________________________
Address:
____________________________________________________________________________________
____________________________________________________________________________________
Phone: (____)_______________
Email: ___________________________________
Days Available:
MON _____
TUE ____
WED ____
THUR ____
FRI ____
SAT ____ SUN _____
Time Available:
9am – 11am _______ 11am – 2pm ________
2pm – 4pm _______
Are you 18 years or older?
YES
NO
(You must be 18 or older to work with our dogs)
Is your community service part of a school program? YES
NO
How will your service aid the shelter? _____________________________________________________
____________________________________________________________________________________
Is your community service court ordered?
YES
NO
If yes, please specify details: _____________________________________________________________
____________________________________________________________________________________
Internal Use Only:
Approved ___________ Date__________
Pass _____________
Date______________

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