Volunteer Application Form

Please complete this application form if you are interested in becoming a Siouxland Humane Society volunteer. All blanks with an asterisk (*) are required. 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: *

Cell phone:

Other phone:

Email address:

Emergency Contact

First name:

Last name:

Cell phone:

Other phone:

About You

Date of birth:

Gender:

Education:

T-Shirt size:

Member Type

Adult Member (18 Years or Older) or Youth Member (14 to 17 Years Old)

Type:

Kind:

Individual Group

Availability

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

Relevant Work Experience

Relevant Volunteer Experience

Volunteer Areas

Best Friends needs volunteers in the following seven areas. Please place a check in the box next to the area of activity in which you would like to participate. Please remember each area represents a commitment of your time so choose only the areas you have a particular interest in. If you have a special talent or interest you're willing to share please let us know in the comments section. If you need more information regarding certain activities, please call Kelly at (712) 252-2614, ext. 13.

Feel free to check up to 2 boxes, or a maximum of 3 if one area is fundraising.*

* Area Preference:

Assignment Preference

If you have assignment preferences in the volunteer areas you already selected, you may choose them them below. (Not all areas have individual assignments)

General Release Form

For valuable consideration, specifically the opportunity to perform volunteer services at the SIOUXLAND HUMANE SOCIETY, INC., the undersigned does hereby release and forever discharge the SIOUXLAND HUMANE SOCIETY, INC., from all claims, causes of action, and demands, whatsoever, the undersigned now has or hereafter may have on account of damage, loss or injury resulting from said volunteer work, whether paid or not, at the SIOUXLAND HUMANE SOCIETY, INC..

Undersigned hereby declares that the terms of this release have been read, understood and voluntarily given.

(If under the age of 18 applicant will need a parent/guardian signature prior to volunteering.)

I Agree