First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

New volunteers are initially contacted via email, and a short training session for new volunteers is held once a month.

I am:*
Choose one: Adult Teen

If Teen, how old are you currently?

Do you text?*
Choose one: Yes No

Why are you interested in volunteering?*

I am interested in the following volunteer opportunities: (check as many as desired)

To be a weekday cleaner, please specify the day/days you are normally available to help:

Please describe any other talents or ideas you have for helping:

Do you agree to abide by the policies and procedures of the Hancock County Humane Society when acting as a representative of this organization?*
Choose one: Yes No

Have you or anyone in your household ever been charged with or convicted of animal abuse and/or neglect?*
Choose one: Yes No

If Yes, please explain:

Additional comments you want to share with us:

How did you hear about us (you may check as many as apply):

If you heard about us online (other than Facebook), please specify which website(s):

If you heard about us from some other source not listed above, please describe:

Signature: By entering my name below, I certify that I am the person submitting this Volunteer application and all answers given are truthful.*

Date this form is being submitted: (month/day/year, i.e., 06/01/2018)*

Please click the button below to submit this application, and we thank you for your interest!