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:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Cell phone:

* OK to call me here

Email address:

Date of birth:

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:

From:

to:

I would like to serve up to:

hours:

What day(s)of the week are you available to volunteer?

Employment Information

Employer name:

Street 1:

City:

State:

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:

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