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:
Choose
Dr.
Mr.
Mrs.
Ms.
Street 1:
*
Street 2:
City:
*
State:
Choose
IA
MN
NE
SD
*
Zip:
*
Cell phone:
*
Other phone:
Email address:
*
Emergency Contact
First name:
*
Last name:
*
Cell phone:
*
Other phone:
About You
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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Year
2023
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1928
1927
1926
1925
1924
1923
1922
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1920
1919
1918
*
Gender:
Choose
Female
Male
*
Education:
Choose
Associate degree
College degree
Doctoral degree
High school
Masters degree
Some college
Trade/Vocational school
T-Shirt size:
Choose
Extra extra Large
Extra Large
Large
Medium
Small
*
Member Type
Adult Member (18 Years or Older) or Youth Member (14 to 17 Years Old)
Type:
Choose
Adult
Youth
*
Kind:
Individual
Group
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
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
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12
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30
31
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
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
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
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:
Animal Advocates
Foster Care Progam (Adults Only)
Fundraising
Humane Educators (Adults Only)
In-Shelter Animal Care
Out-Reach Programs
Pet-Facilitated Therapy (Adults Only)
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)
Assignment Preference:
4 Brothers Bar & Grill [Out-Reach Programs]
Dog Playgroup Training [In-Shelter Animal Care]
FC-Cat/Kitten [Foster Care Progam (Adults Only)]
FC-Dog/Puppy [Foster Care Progam (Adults Only)]
FC-Injured Pet [Foster Care Progam (Adults Only)]
FC-Orphaned Puppies/Kittens [Foster Care Progam (Adults Only)]
FC-Sick Pet [Foster Care Progam (Adults Only)]
FR-Gourmet Apple Project [Fundraising]
FR-Paws N Claus [Fundraising]
FR-Pets on Parade [Fundraising]
FR-Quilt Auction [Fundraising]
FR-Small Fundraising Events [Fundraising]
Off-Site Adoption - Bomgaars Hamilton [Out-Reach Programs]
Off-Site Adoption - Fleet Farm [Out-Reach Programs]
Off-Site Adoption - Petco [Out-Reach Programs]
Off-Site Adoption - PetSmart [Out-Reach Programs]
Off-Site Adoption - Southern Hills Mall [Out-Reach Programs]
Off-Site Adoption- Bomgaars Gordon Dr [Out-Reach Programs]
OR-Pet Transport [Out-Reach Programs]
OR-Promotional Events [Out-Reach Programs]
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
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