Junior Volunteer Application

If you are between the age of 15-18, click here for the pdf version of the 15 and over Junior Volunteer Application or fill out online form below.

If you are under the age of 15, click here for the pdf version of the Under 15 Junior Volunteer Application or fill out online form below.

Fields marked with an "*" are required.

Today's Date:

Select Date

Personal Information

Last Name *:

First Name *:

Middle Name:

Nickname:

Street *:

City *:

State *:

Postal Code *:

Email Address *:

Home Phone *:

Emergency Contact:

Name:

Relationship:

Phone Number:

Your Date of Birth: (mm/dd/yyyy):

Your School:

Current Grade:

If under 15 years old please provide information about your supervising adult

Adult Name:

Relationship:

Phone:

Personal Experience

Do you have an after school job?:
Yes
No

Where?:

Do you have prior volunteer experience?:
Yes
No

Where?:

Why are you interested in becoming a Potter League volunteer?:

Tell us about your hobbies or special interests:

Tell us about your current pets:

If we asked your best friend what you are really good at, what would they say?:

Submit

Animal Control Offices: Middletown | Portsmouth