Please complete this application form if you are interested in becoming a Longmont Humane Society volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

First name:

Last name:

Title:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Cell phone:

* OK to call me here

Email address:

Date of birth:

Age:

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

Emergency Contact

In the event of an emergency, who should we notify?

Age range:

First name:

Last name:

Home phone:

Cell phone:

Relationship:

What type of volunteer work would your prefer?

e.g. dog walking, cat handling, administrative, small mammals, clinical, maintenance, transport, and special events.

Have you ever been convicted of a crime?

Have you ever been convicted of a crime? If so, please explain. (If convicted of a felony you may not be able to volunteer.)

Application Agreement

I understand and agree that submitting this application form does not automatically register me as a Longmont Humane Society volunteer. I understand that I will need to complete all relevant steps to become a volunteer in terms of orientation, paying the volunteer fee and attend the necessary training required to start volunteering.

I Agree