Please complete this application form if you are interested in becoming a SafeHaven Humane Society volunteer, located in Tangent, Oregon. Volunteers must also attend a Volunteer Orientation and Basic Animal Handling class before volunteering. Once you complete the form, click the submit button at the bottom.

Note: Volunteers must be 16 years or older to be at SafeHaven without parental supervision. Youth volunteers ( age 15 and under) must be accompanied by a parent or legal guardian at all times when volunteering. Volunteer paperwork must be on file for both youth volunteers and their volunteer partners.

Name and Address

Please enter your legal name, street, and mailing address.

First name:

Last name:

Title:

Nickname:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Email address:

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

Allow other volunteers to see when I am scheduled

Emergency Contact Information

Please provide contact information for someone we may contact on your behalf in the case of an emergency.

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Relationship:

Demographic Information

You may optionally provide the following information, except date of birth. It is used only to help us get a better idea of the demographic makeup of our volunteers.

Date of birth:

Gender:

T-Shirt size:

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 checkboxes 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

Schedule reminders

Hobbies, Interests, and Skills

Please list any hobbies, interests, or skills you feel may benefit the organization.

Why are you interested in volunteering?

Tell us a little bit about yourself:

Availability

Please indicate any position you are interested in.

Have you ever been convicted of a crime?

If answer is yes, please specify what it was.

Waiver of Responsibility

I am about to participate in the voluntary care of animals at SafeHaven Humane Society, and I am doing so entirely upon my own initiative, risk, and responsibility. I hereby for myself, my heirs, and my executors remise, release, and discharge SafeHaven Humane Society, its officers and employees from all claims, demands, actions, or cause of action on account of any injury to me which may occur during my volunteer time.

I Agree