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IU Student Interest Volunteer Application

Volunteer Interest IU Student Fair

Today's Date*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Preferred Method of Contact
- Phone Call
- Text
- Email
Date of Birth*
What year are you at Indiana University?*
Do you have access to a car?
- Yes
- No
Our shelter is located 35 minutes from the IU campus and not accessible via bus. We do have virtual opportunities if you are not able to travel.
List any health restrictions that would limit your ability to perform certain duties (allergies, mobility, etc.)
Check all of the times you are available to volunteer. The shelter is open for volunteers from 9:00-5:00. Some volunteer work is done in the evenings or at home.
- Monday morning (9:00-12:00)
- Monday afternoon (12:00-5:00)
- Tuesday morning (9:00-12:00)
- Tuesday afternoon (12:00-5:00)
- Wednesday morning (9:00-12:00)
- Wednesday afternoon (12:00-5:00)
- Thursday morning (9:00-12:00)
- Thursday afternoon (12:00-5:00)
- Friday morning (9:00-12:00)
- Friday afternoon (12:00-5:00)
- Saturday morning (9:00-12:00)
- Saturday afternoon (12:00-5:00)
- Sunday morning (9:00-12:00)
- Sunday afternoon (12:00-5:00)
Please describe any other experience you think it would be helpful for BCHS to know (certificates, special skills, hobbies, etc.)
Please check the areas where you are intereseted in volunteering.
- AT SHELTER: Morning Animal Care
- AT SHELTER: Afternoon Dog Walker
- AT SHELTER: Afternoon Shelter Assistant
- AT SHELTER: Animal Socialization
- AT SHELTER: Spay/Neuter day help (Early mornings and late evenings)
- SPECIAL EVENTS: Event worker
- VIRTUAL: Special Event organizer
- VIRTUAL: Fundraising/Development
- VIRTUAL: Marketing/Communications
- VIRTUAL: Virtual Fostering
- VIRTUAL: Writing/Editing
- VIRTUAL: Committee Help (Marketing, Fundraising, Community Outreach, Medical, Personnel, Behavior, Volunteer and more)
Emergency contact name, phone number, and relationship*
By typing your full name in the box below, you are providing an electronic signature indicating you have read and accept the following Waiver and Release of Liability: I have volunteered to help at the Brown County Humane Society, and in doing so I accept and acknowledge that there are certain risks involved in being at the premises, and in working with the animals. Those risks include, but are not limited to, the following: Behavior issues with domestic animals – while the majority of domestic animals are well behaved, there are always outliers and I accept the fact that a domestic animal is capable of inflicting serious personal injury, even death, as well as extensive property damage, and I acknowledge this fact and agree to work with the domestic animals anyway. I also understand that domestic animals may carry zoonotic disease which can be transferred to humans and other animals through direct and indirect contact, and I knowingly accept this risk. Other risks may arise as a result of my volunteer activities at the Brown County Humane Society, and I accept those risks even though I may not be aware of them at this time. I agree to knowingly assume all risks of volunteering at the Brown County Humane Society, whether or not known, and I agree to assume those risks and to release, indemnify, and hold harmless the Brown County Humane Society and/or its officers, directors, supervisors, employees, and well as other volunteers for any and all personal injury and property damages resulting from my volunteer work.*

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