Volunteer – South Wood County Humane Society

Please out the form below to become a SWCHS volunteer. Applications must be 16 years or older and provide a valid ID. Upon completion, our staff will review your application and contact you soon. We appreciate your support!

If you are human, leave this field blank.

Full Name *

Age *

Date of Birth (MM/DD/YY) *

Home Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Country

Work Phone Number

Email Address *

Emergency Contact *

Primary Phone Number

How often are you interested in volunteering? (Please choose one) *

Occasionally (a couple times throughout the year)

Low Frequency (few days a week)

High Frequency (more than a few days per week)

Have you ever been convicted of a crime other than a minor traffic violation or had any animal related violations? *

Yes, please explainYes, please explain

Do you have any health issues or restrictions that SWCHS should be aware of while you are volunteering? *

Yes, please explainYes, please explain

Are you current on your Tetanus Vaccination? *

Yes, date administeredYes, date administered

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 Application