VOLUNTEER APPLICATION

FIRST NAME:
LAST NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
EMAIL:
RE-ENTER EMAIL TO ENSURE ACCURACY:
DATE OF BIRTH
IF APPLICANT IS UNDER 16 YEARS OLD
NAME OF PARENT OR GUARDIAN:
PARENT OR GUARDIAN EMAIL:
PARENT OR GUARDIAN PHONE NUMBER:
TYPE AND NUMBER OF PETS AT HOME
TELL US WHY YOU ARE INTERESTED IN VOLUNTEERING AT THE UNION COUNTY HUMANE SOCIETY:
DESCRIBE ANY PREVIOUS EXPERIENCE WORKING WITH OR VOLUNTEERING WITH ANIMALS:
AREAS OF INTEREST (PLEASE CHECK ALL THAT APPLY):
Dog care
Cat care
General
Grooming
Events/fundraising
Other (Please specify):
HOW MANY HOURS CAN YOU COMMIT TO VOLUNTEER PER WEEK?
Less than 1   1-2   2-3   3-4
ARE YOU CURRENTLY A STUDENT?
High School   College/University   No
DO YOU NEED VOLUNTEER HOURS FOR SCHOOL?
Yes   No
ARE YOU EMPLOYED?
Full-time   Part-time    Not Employed
IF YES, NAME OF EMPLOYER:
EMERGENCY CONTACT NAME:
EMERGENCY CONTACT RELATIONSHIP:
EMERGENCY CONTACT PHONE:
Enter the letters you see in the graphic below:

When you’ve completed the form, press SUBMIT APPLICATION