HSCO Thrift Store Volunteer Application

Thank you for your interest in volunteering with the Humane Society of Central Oregon Thrift Store.

We invite individuals 16 years of age and older to apply to become a Thrift Store Volunteer.

Once you complete the form, click the submit button at the bottom of the form. All fields must be complete.

Applications are accepted based on needs. Completion of a volunteer application does not guarantee placement in a volunteer position. Once we receive your application, we will e-mail you to let you know the next steps. Please allow for up to 7 working days. Please check your spam folder in case the email is delivered there.

All applicants over 18 years of age will need to pass a criminal background check that is performed by Criminal Information Systems, Inc.(CIS)

Questions? Please contact the HSCO Volunteer Department at 541-382-3537.

(* below indicates a required entry)

INDIVIDUALS NEEDING COURT MANDATED COMMUNITY SERVICE HOURS NEED TO CONTACT THE HSCO THRIFT STORE 541-388-3448 AS THE VOLUNTEER PROGRAM DOES NOT QUALIFY FOR SERVICE HOURS.

Contact Information

At least one phone number is required.

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Work phone:

Cell phone:

Email address:

Web site:

Time Commitment

Indicate the times you are regularly available to volunteer for the next 6 months, not just the days you prefer. (Please enter a number higher than "0" for the question asking how many hours per week can you volunteer.)

Shlter = Animal Shelter

TS = Thrift Store

BSN = Bend Spay Neuter Clinic

Demographic Information

Please 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:

Age range:

Gender:

T-Shirt size:

Occupation::

Vocational Counselor/ Adult Supervisor

If you will be volunteering with another volunteer as an Adult Supervisor or Vocational Counselor, please provide the following information:

Vocational Counselor:

Adult Supervisor:

If you will be accompanying another volunteer please provide their: Name Relationship Phone Number

Medical History/ Special Needs Information

Do you have any health or medical issues that would affect your ability to perform as a volunteer?

If yes, please list any physical and mental limitations, medications or allergies that may affect your volunteer services. If you have a blood borne illness, your ability to volunteer.

Community Service

If your volunteer work is for a community service project, please tell us.

What program is this for? If a school project, what is the name of the school and the teacher's name: How many hours do you need? When do the hours need to be completed?

Volunteer and Work Experience*

Please describe any present or previous volunteer experiences. Do you have any experience volunteering at a Thrift Store or working in a retail environment?

Customer Service*

Describe what you consider good customer service is and provide an example of how you would provide good customer service.

Scheduling Preferences*

If given the choice, do you prefer to work more behind the scenes (answering phones, folding/sorting clothes, cleaning, sorting donations, etc) or front of store (cashier, greeter, customer service on the floor, etc)?

Emergency Contact

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Criminal History

I am 18 years of age or older and understand that I will need to pass a criminal background check performed by Criminal Information Systems, Inc. before approval in the HSCO volunteer program.

I Agree to Background Check:

Volunteer Release Form

This Section to be read and agreed to by adult participants 18 years of age or older.

FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as the person listed on this application, referred to as "Adult Supervisor" am the parent, Guardian or Temporary Guardian with legal responsibility for this participant, and do consent and agree not only to his/herself release from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.

“I hereby agree to accept a position as volunteer for the HUMANE SOCIETY OF CENTRAL OREGON (herein referred to as “The Society”), and in so doing, I agree to comply with all of the rules and regulations which may be established from time to time by The Society, and 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 The Society, all services to be performed by me are at my own risk.

I recognize that in handling animals there exists a risk of injury including physical harm caused by the animal(s). I recognize that in handling boxes, furniture and merchandise, at the Thrift Store, there exists a risk of physical injury. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify and hold harmless The Society, its’ agents, servants and employees from any and all claims, causes of action, or demands, of any nature or cause, including costs and attorney’s fees incurred in connection with the same, based on damages or injuries which may be incurred or sustained by me in any way connected with my services for The Society, including but not limited to, animal bites, injuries, property damage or veterinary fees.

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

By checking the box below, I confirm that I am the applicant and a person of 18 years or older

I am the “Adult Supervisor” listed on the application and legally responsible to sign on behalf of this person of 17 years and younger.

I Agree