VOLUNTEER PROFILE

Let Us Know Who You Are

*Completing this application does not guarantee acceptance to the Caring Hands Humane Society Volunteer Program. You must be at least 18 yrs old to apply online. Youth volunteers ages 16-17 must apply in person, with an adult present.

Name *

First

Last

Phone *

Email *

The email you provided is:

Personal
Professional

Address *

Address Line 1

City

State

Zip Code

Birth Date *

Where do you work/school? *

If you are in school what grade? *

Please list any special skills that would be valuable to Caring Hands Humane Society. *

When are you available to volunteer?

Check all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Why did you choose Caring Hands as a volunteer opportunity?

How did you hear about our Volunteer Program?

Emergency Contact *

First

Last

Emergency Contact Relationship

Emergency Contact Phone *

Physicians Name *

First

Last

Physicians Phone *

Waiver of Liability

I, as a volunteer service provider to the Caring Hands Humane Society, hereby knowingly, freely and voluntarily waive my right or cause of action of any kind whatsoever arising as a result of such activity from which any liability may or could occur against the Caring Hands Humane Society or its agents or employees jointly or individually. I declare that I shall not hold Caring Hands Humane Society liable for any illness, injury, or disease that I might contract or sustain while I am working in said capacity. As a part of this statement, I agree to follow the supervision and instruction of the Caring Hands Humane Society’s staff pertaining to my volunteer work and realize that they reserve the right to terminate my stay for any reason. I understand that I am not to represent Caring Hands Humane Society in any official capacity to the public at the shelter, in print, radio or television, or in public or private appearances without the approval of the Executive Director or the Board President. I give permission to the Caring Hands Humane Society to use photographs or video footage of my volunteer activities. I fully recognize the possible dangers associated with the work of the Caring Hands Humane Society and I freely consent to this waiver. The Caring Hands Humane Society makes no representations concerning any animals’ exposure to rabies or other diseases. I give my permission to the Caring Hands Humane Society to verify the above information. I UNDERSTAND THAT THIS APPLICATION DOES NOT GUARANTEE ACCEPTANCE TO THE CARING HANDS HUMANE SOCIETY VOLUNTEER PROGRAM. By clicking the submit button below you are allowing Caring Hands to follow up on ALL of the information provided. If you are under 18yrs old Caring Hands MUST have a parents signature of approval prior to orientation.

Signature *

First

Last

Captcha *

VOLUNTEER PROFILE

Volunteer Services