Volunteer Application Form
Please complete this application form if you are interested in becoming a Humane Society of Yuma volunteer. Once you complete the form, click the submit button at the bottom.
Name and address
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Street 1:
*
Street 2:
City:
*
State:
Choose
AZ
*
Zip:
*
Home phone:
OK to call me here
Cell phone:
*
OK to call me here
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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31
Year
2022
2021
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1922
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1920
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1918
1917
*
Age:
*
Please describe any present or previous volunteer work you have participated in.
Availability
Please indicate the days and times you are usually available to volunteer.
My availability is:
Choose
Ongoing
Ongoing, except between these dates
Only between these dates
From:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
to:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
I would like to serve up to:
hours:
Choose
Daily
Monthly
One time
Weekly
What day(s)of the week are you available to volunteer?
Employment Information
Employer name:
Street 1:
City:
State:
Choose
AZ
Zip:
Work phone:
OK to call here
Please provide any additional skills you may have that will assist us in finding specialized positions for you in our volunteer program:
Emergency Contact
Please provide a contact person in case of emergency.
First name:
Last name:
Home phone:
Work phone:
Cell phone:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
Interests
Which volunteer opportunities are you interested in? (Please refer to the webpage for opportunity description)
Administration
Foster Care
Adoptions
Dog Walking/Dog Pal (Shelter or PetSmart location)
Cat Cuddling (Shelter or PetSmart location)
Thrift Shop
Events
Feline Friends
Rescue Transport
4 Paws Pantry
Continue