Brown County Humane Society | Volunteer Application

Today's Date*

Name*

FirstLast

Address*

Street AddressCityStateZip Code

Best Phone Number*

Alternate Phone Number

Best time to call

Email*

Enter EmailConfirm Email

Date of Birth*

MM

DD

YYYY

Are you 18 or older?*

No
Yes

If you are under 18, what is your age?*

If you are 14 or younger, you must have a parent or guardian on the premises with you when you volunteer. Due to safety precautions, those younger than 10 may not handle cleaning products.

Reason for Volunteering

Court mandated community service
School or Special Project
Just for fun!

Available Start Date*

Why are you interested in becoming a volunteer for the BCHS?

How did you hear about the volunteer program at the BCHS?

Describe previous experience working with animals.

Please list any health restrictions that would limit your ability to perform duties (i.e. allergies, mobility).

List any additional information that may be helpful for the BCHS to know (i.e., special skills, training, interests, hobbies)

Check the areas you are interested in volunteering for

*If you are interested in transporting animals, the vehicle you would be driving must have liability insurance.

Indicate the amount of time you will be able to volunteer

2-4 hours/week
4-8 hours/week
more than 10 hours/week

Indicate when you are available to volunteer

For those interested in volunteering at the shelter, we ask a commitment of at least a 3 month period with a regular weekly or bi-weekly schedule.

Emergency Contact name, phone number and relationship*

Waiver and Release of Liability*

I read and understand the Waiver & Release

I understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks of handling domestic animals, I agree to assume those risks and to release, indemnify, and hold harmless the Brown County Humane Society and/or its officials, directors, supervisors, employees for any and all personal injury and property damages resulting from my volunteer work. I understand that I will be trained according to my volunteer interests and the documentation will be kept as I progress through training. If the Volunteer Applicant is under 18 years of age, their parent or guardian has read and understands this Waiver and Release of Liability

Volunteer Application

Volunteer Application

Visit us on Facebook

Your Web Search Supports BCHS!

News

Recent Posts

Visit us on Facebook