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.