Much of what we do at Lollypop Farm depends on the help of volunteers. Humane Education programs at Lollypop Farm aim to reach and educate people of all ages in the Greater Rochester community. Our dedicated volunteers are at the forefront of teaching the public, shaping attitudes, and forming the differences makers of tomorrow.

Once you complete the form, click submit at the bottom of the page.

Our management team is reviewing your qualifications and will contact you if there is a match with our current open volunteer positions. We appreciate your interest in Lollypop Farm and wish you the best of luck in your volunteer job search.

Name and address

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Current Employer

Employer name:

Work phone:

Please tell us a little about your current job description/skillset

Volunteer Jobs

Which Humane Education Volunteer jobs are you interested in?

Please list all that apply

Availability

Please indicate the days and times you are usually available to volunteer.

Prior Experience

Please list any prior volunteer experience or specialized skills or training that could assist Lollypop Farm.

Child Specific Experience

Please give detail about your prior experiences working with children.

Animal Specific Experience

Please list any pets you currently own (or have owned in the past) so we may know what kind of animals you are comfortable with.

Let's Get Acquainted!

Tell us more about yourself.

Please let us know if you have any special needs while volunteering (interpreter, job coach, allergies, lifting limits, etc)

References

Please list 3 personal or professional references

1

2

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

3

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Gender:

T-Shirt size:

Uniform issued:

Emergency Contacts

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the check boxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Volunteer updates & requests

Schedule reminders

Terms of Agreement

I agree to give a minimum of 2 hours a week for a minimum of one year. I will notify the staff member in my area in case of necessary absence or shift change. I will notify the volunteer manager of my intent to discontinue this time commitment if that become necessary.

I confirm that the information on this application is correct. I understand the commitment involved and acknowledge that my services are offered at my own risk. I agree to adhere to Lollypop Farm policies and carry out my duties as a Humane Society Volunteer effectively.

Lollypop Farm recommends that all volunteers be current on their tetanus vaccination. There is no coverage or payment to volunteers for injuries/illnesses that happen related to your volunteer position.

Confidentiality: You information will not be shared, except in the case of another staff member or volunteer wishing to reach you for a work related purpose. All volunteers are expected to maintain confidentiality of any personal information of members, customers, staff or volunteers which they encounter in the course of their work here.

I Agree