FCCO Volunteer Application
Veterinary Technician or Assistant

Name *
Name
Do you prefer phone or email contact?
Prefered Phone
Prefered Phone
Other Phone
Other Phone
Do you have valid medical coverage?
Do you have physical limitations we should be aware of?
If yes, please explain
Emergency Phone
Emergency Phone
Skills and Interests
Are you licensed in Oregon?
Are you currently working as a veterinary technician or assistant?
Availability
Days I can commit to helping each month:
Days Available
Check all that apply
Time of Day