Volunteer Application Form

Do not complete this form if you need to complete court-ordered community service hours. Call 386-274-4703 ext. 319 or email volunteer manager at: volunteermanager@halifaxhumanesociety.org.

If you do not have court-ordered community service hours to complete, please fill out the below application form if you are interested in becoming a Halifax Humane Society volunteer. Once you complete the form, click the submit button at the bottom.

All questions followed by an asterisk are required questions.

Name

First name:

Last name:

Date of birth:

Gender:

T-Shirt size:

Address

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Contact Information

Availability

Have you ever been convicted of a crime?*

If yes, please give all relevant details.

Why are you interested in volunteering with us?*

Are you interested in fostering?*

Have you had previous experience with animals?*

Are you a snowbird or temporary resident?*

Volunteer Interests and Skills*

Please indicate what volunteer opportunities you are interested in.

Emergency Contact:

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

* OK to call here

Work phone:

OK to call here

Cell phone:

* OK to call here

Relationship:

How many hours will you volunteer?*

How many hours will you volunteer in a typical month?

This is a required question.

I hereby agree to accept a position as a volunteer worker for the Halifax Humane Society (hereinafter referred to as HHS), and in so doing, I agree to comply with all of the rules and regulations which may be established from time to time by HHS. I understand that failure to do so may result in my immediate termination as a volunteer.

I acknowledge that my services are provided strictly on a volunteer basis, without any pay or compensation of any kind, and without liability of any nature on behalf of HHS, all services to be performed by me at my own risk.

I acknowledge that I will not have friends or family members join me in my volunteer duties at HHS or at HHS Events unless prior approval from Volunteer Manager is given and they have attended Orientation classes.

I recognize that in handling animals and performing other volunteer tasks there exists a risk of injury including physical harm caused by the animals.

I understand that public relations is an important part of volunteering at HHS. On behalf of myself, my heirs, personal representatives and executors, I allow the shelter to use any photographs taken of me for use in public relations efforts.

I understand that any and all information shared with me by any staff member or volunteer of HHS is to be considered confidential. Sharing information without the knowledge and consent of HHS corporate management will be considered grounds for termination of my volunteer participation.

I Agree