Youth Volunteer Application Form

Please complete this application form if you are interested in becoming a Humane Society of Charles County volunteer. Submitting an application is not an automatic approval to volunteer. You will be contacted via email once your application has been reviewed.

Upon approval you will be required to pay a $25 fee that covers your orientation and training along with a volunteer t-shirt and a name tag.

Once you complete the form, click the submit button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Primary phone:

OK to call me here

Secondary phone:

OK to call me here

Email address:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Age range:

Gender:

T-Shirt size:

Availability

Please indicate the days and times you are usually available to volunteer. Please note that there will be NO volunteers from 11am to 12pm.

What would you like to do?

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

Text Messages

Emergency Contact

First name:

Last name:

Primary phone:

Relationship:

Please list any health or medical/allergies that your child may have:

Parental Consent

By signing below I am allowing my child to volunteer with HSCC, I agree: To encourage and help my child learn respect for and care of the animals. To release the Humane Society of Charles County form liability for any injuries which may occur while my child is participating as a volunteer. To volunteer with my child if they are under 16 years old. That my child can work the hours and days committed to on the junior volunteer schedule. That I will provide transportation to and from the location (71 Industrial Park Dr. Waldorf MD 20601 or other venue when provided notice) and pick them up on time at the end of their scheduled shift.

I Agree