Humane Society of SchuylerCounty
Volunteer Application
Applicant Information:
Full Name: / Today’s Date:Street Address: / Date of Birth:
City, State, Zip: / Day Phone:
Evening Phone: / Other Phone (cell, work, etc):
Email Address[i]: / Occupation:
About You:
Do you have any previous shelter or rescue experience? yesno
If yes, please supply the name and location of the shelter/rescue and the type of work you performed.
______
In what areas of the organization would you like to participate? (Children under the age of 16 can help with fund-raising events, making toys for the animals, collecting redeemable cans/bottles, collecting towels, making popsicles for the dogs, etc. but they cannot be directly involved in animal care. Children 16 - 18 are welcome to work with cats/kittens (not dogs) at the discretion of the Board and so long as they are supervised by a parent or other adult.)
______
Exercising/socializing/training dogsSocializing/caring for cats
Interacting with small animalsSpay/Neuter clinics
Assisting customers with adoptionsAdministrative support
Community Education/OutreachWags to Riches Thrift Shop
Fundraising“Behind the Scenes”
GroundskeepingTransporting animals to vets/rescue
Public Relations/AdvertisingRabies Clinics
Fostering Animals
About how many hours per month would you plan to volunteer?
0–1010–1515–2020–2525+
What days/times?
Weekdays Weekends MorningAfternoonEvening
Volunteer Application (continued)
Are you comfortable dealing with people? yes no
Will you be comfortable handling animals for people yes no
Are you comfortable relating HSSC policy to customers yes no
Do you have any special skills that you believe would benefit the organization? If so,what?
______
______
Why do you want to volunteer at the Schuyler County Humane Society? Mandatory community service? School requirement? Personal interest? Other?
______
About the Animals:
With what type of animals do you have experience? Please check all that apply. (Note: previous experience is not necessary.)
Large breed dogsAdult catsSmall animals:
Large breed puppiesKittens Exotics (chinchilla, etc.)
Small breed dogsBirds Ferrets
Small breed puppies:Reptiles Rabbits
Rodents
Other: ______
Do you have specific breed experience with dogs? Which breeds?
______
Do you have specific breed experience with cats? Which breeds?
______
Do you currently have any pets? If so, what kind?
______
Are all pets in the home spayed and neutered?
yes no
Are all pets in the home current on vaccinations?
yes no
Thank you for completing our volunteer application. Please email, fax, post, or deliver your application to Humane Society of Schuyler County, 124 Marina Dr., Montour Falls, NY 14865 Phone: 607-594-2255 Fax: (845) 501-3211 Email:
[i]Most Humane Society correspondence is via e-mail. Please provide an e-mail address if possible.