Volunteer Application

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Please complete this form if you are interested in volunteering with Macomb County Animal Control.
A copy of your drivers license must be submitted with your completed application.
All information collected is kept confidential and necessary for the approval process.

Email *

LAST NAME: *

FIRST NAME: *

MIDDLE INITIAL *

LIST ALL OTHER NAMES YOU HAVE GONE BY:

GENDER: *

Female

Male

DATE OF BIRTH (must be 18 years or older): *

YYYY

ETHNICITY: *

African American or Black

American Indian/Native Alaskan Asian

Hispanic or Latino

Native Hawaiian/Pacific Islander

White or Caucasian

CURRENT ADDRESS: *

CITY: *

STATE: *

ZIP CODE: *

PHONE NUMBER: *

PREFERRED METHOD OF CONTACT (i.e. email, phone, facebook):

HAVE YOU BEEN CONVICTED OF A CRIME (excluding traffic offenses) IN THE PAST 10 YEARS? IF SO, BRIEFLY DESCRIBE OFFENSE: *

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