Volunteer Application

Volunteer Information

What type of volunteer position are you interested in?

Dog Room - Cleaning Assistant

Dog Room - Dog Walker

Cat Room - Cleaning Assistant

Cat Room - Socialize/Enrichment

Kitchen Area - Washing Dishes, Laundry, Etc.

Fundraising Volunteer

Grant Writing - Research and Writing

Another Skill I Could Offer

First Name

Middle Name

Last Name

Former Names (Maiden name, previous name before a name change, etc.):

Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Email

Age

Must be 18+ to be a Dog Room volunteer and 16+ to be a cat room volunteer for insurance purposes

Parent or Guardian Information

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Emergency Contact Phone

Emergency Contact Email

Disclosure

In consideration of my participation in activities of the South Wood County Humane Society (SWCHS), I do agree to hold free from any and all liability the SWCHS and its officers, employees and members. I do release and forever discharge any rights and claims for damages or injuries, which I may hereafter incur, arising out of or connected with my participation in any activities or duties of the SWCHS. By submitting my application, I declare myself to be physically sound and medically able to participate in the activities of SWCHS.

Volunteer Information

Parent or Guardian Information

Emergency Contact Information

Other Questions

Disclosure