Volunteer Application Form

Our volunteer program is currently on hold.

Update March 2022. Our volunteer program is still on hold but we have begun discussing volunteer roles, training and scheduling. Our COVID experiences have changed the way the shelter operates and it has changed our needs. It may take a few months for us to determine our next steps. We are accepting volunteer applications and keeping the applications on file

Please complete this application form if you are interested in becoming a Humane Society of Portage County volunteer. 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: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Email address:

Spouse's name:

Drivers License Number:

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:

Gender:

Education:

T-Shirt size:

E-mail 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

Checklist reminders

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

My availability is:

From:

to:

I would like to serve up to:

hours:

Which HSPC opportunities interest you?

We want to match your skills with an opportunity you will enjoy and find fulfilling.

Previous Experience With Animals

Please tell us if you volunteered at the HSPC or any other shelter and what types of activities you were involved in.

Allergies and restrictions

Please tell us about any allergies you have to animals, animals you do not wish to be involved with and any restrictions to volunteering you have.

What would you like to gain or accomplish

Additional comments

Please tell us anything else that you feel is important.