Community Service Application
Regional Animal Shelter does accept Community Service applicants, but please plan ahead.
Due to the time and limited resources that it takes to train each new volunteer, not all community
service applicants are accepted.

High school government class students: you must be willing and able to stay as a volunteer for 6 months.

Court/judicial/DSS applicants: Your shifts will primarily involve cleaning and facilities work.
Personal Information for community service applicants
Last Name
First Name
Gender
Date of birth(mm/dd/yyyy)
Email address (our preferred method of contact)
Phone number □ check if mobile
Secondary number
Address
City
State/Zip
Emergency Contact Name and Phone Number
Employer or School (include year in school)
Community Service Information
Please indicate the reason for community service:
⃝ Court Ordered
What was the offense? ___________________________________________________________________________________
⃝ Ordered through University/College judicial affairs, student conduct, or similar office
What was the offense? ___________________________________________________________________________________
⃝ Ordered through Department of Social Services
Contact Person Name and Number: _________________________________________________________________________
⃝ Class or scout troop (name of class or scout troop) _____________________________________________________________
How many hours do you need to complete?
What is the due date for completing the hours?
Do you have a domestic violence, animal cruelty, or neglect charge brought against you? ⃝ Yes ⃝ No
If yes, please explain on a separate page and attach to this application.
Do you have any animals at home? ⃝ Yes – dogs ⃝ Yes – cats ⃝ Yes – ferrets
⃝ No
If so, you will need to have proof of rabies, distemper and/or 5-in-1 vaccine for your animals.
⃝ Yes ⃝ No
I understand that the Volunteer Coordinator may email me regarding orientation and/or training.
(You are encouraged to update your email account to prevent any emails from
“[email protected]” from going into your spam folder.)
Availability (only if Court, DSS or University/College ordered community service)
Please check day(s) and time(s) that you prefer to volunteer. You will be assigned a shift after training.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
⃝ Morning
⃝ Morning
⃝ Morning
⃝ Morning
⃝ Morning
⃝ Morning
⃝ Afternoon
⃝ Afternoon
⃝ Afternoon
⃝ Afternoon
⃝ Afternoon ⃝ Afternoon
Morning shift: 7am-9am
Afternoon shift: 4pm – 6pm
Sunday
⃝ Morning
⃝ Afternoon
Class or Scouting Community Service
Are you able to make a commitment beyond the number of hours to fulfill your requirement?
⃝ Yes ⃝ No *
Are you able commit to the Shelter for at least six (6) months, volunteering 8-10 hours per month? ⃝ Yes ⃝ No *
If no, please feel free to explain your circumstances: ______________________________________________________________
_________________________________________________________________________________________________________
*If no for either question, please consider completing a “Youth Community Service Project”. Ideas are listed on the back of this form.
I hereby state that the information I have provided in this application form is complete and accurate to the best of my
knowledge.
_________________________________________________________________
Signature
_________________________
Today’s Date
Youth Community Service Project
Many youth contact us to fulfill their community service requirements for school or scouting activities. In order to
volunteer at the Regional Animal Shelter, you must be 16 years or older, attend orientation, complete volunteer
training, and be available to commit to volunteering for 6 months of time. If you cannot fulfill these requirements, you
can complete one of the projects listed below or create your own project.
These projects are to be done on your own schedule. Unfortunately, we do not have staff or volunteers available to
supervise these activities. Keep track of what you are doing and how many hours it takes. Once you are done, bring
the completed project to Regional Animal Shelter during shelter hours, along with the record of hours that you
completed. The Volunteer Coordinator or Senior Volunteer on staff can sign the paperwork for you.
Fundraisers
Money donations help us purchase food, supplies, and equipment to keep the animals warm, fed, and healthy.
 Dog Wash: Like a car wash, a dog wash is an event where volunteers wash dogs and other pets in exchange
for donations of money. You can either have a set rate per animal, or let donors give any amount of money
they want. All it takes to hole this fundraiser is a couple of buckets, water hoses, towels, quality pet shampoo
and brushes.
 Bake sale or lemonade stand
 Bottle drive
 Coin drive or penny wars
Things you can make


Dog biscuits: Find a good recipe and bake some dog biscuits! We can hand them out at the shelter after you
drop them off, or they are a nice puppy-friendly addition to any bake sale! You can find dog cookie recipes
online or by checking out cookbooks for dogs at the library.
Dog blankets: Dogs need something comfortable to lie on! Blankets can be any size, made from any washable
material and stuffed with batting. You can also make “no sew” blankets!
Drives
Hold a drive for supplies that are needed!



Leave boxes at your school or church for donations
Ask a local store if you can set up in front of their store to collect donations (stores that sell pet supplies
would love the extra business!)
Distribute flyers to your neighbors telling them you will be back on a given day to collect donations. They can
leave them on their doorstep for you to pick up, or even bring them to you before the date.
Items on Our Wish List








Peanut butter
Squeeze cheese
Small treats
Wet dog food
Rope toys
Dish soap
Cleaning supplies
And more! See our wish list at
regionalanimalshelter.org/donate
Please return application to:
Regional Animal Shelter
Attn: Volunteer Coordinator
117 West Fulton Street, Gloversville, NY 12078
Email: [email protected]
“No-Cost” Items to Collect
Old (but clean) blankets, sheets, and towels
 We use them in animal beds and for cleaning
Pet toys that were purchased that the pet didn’t like
Used collars, leashes, and washable dog beds
Unused non-expired medicines: flea and tick,
heartworm, other veterinary medicines