Much of what we do at Lollypop Farm to save animal lives and give them second chance depends on the help of volunteers. Volunteering is fun and rewarding, and it is also a great way to help the homeless animals. Just a few hours every week can make a big difference.


Please complete this application form if you are over 18 years old and interested in becoming a Lollypop Farm, Humane Society of Greater Rochester volunteer. Once you complete the form, click the submit button at the bottom.


Name and address


Employer


Emergency Contacts


References

In Box 1 please list your current Veterinarian with contact information. In Box 2 & 3 list any trainers you have worked with,along with their contact information if applicable.



Availability

Please indicate the days and times you are usually available to volunteer. At the current time WE ARE ONLY RECRUITING FOR THE FOLLOWING DAYS AND TIMES:TUESDAYS-FRIDAYS MORNINGS AND AFTERNOONS ONLY



Let's Get Acquainted!

Tell us more about yourself and your pet, and what are your goals with pet assisted therapy.



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.



Animal Specific Experience

Please list any pets you currently own that you are interested in having participate in Pet Therapy and the level of training they have already received.



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.



Terms of Agreement

I understand that you ask for a minimum commitment of 2 visits per month for at least one year.


I will notify the staff member in my area in case of necessary absence or shift change. I will notify the Pet Therapy Coordinator of my intent to discontinue this time commitment if that becomes 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.