Humane Society of Cowlitz County Volunteer Application

HSCC Hours are 9 to 5, Monday through Friday and 10 to 3:30 PM Saturday

Date Submitted:
Name:
Age if Under 18:
Address:
Mailing Address or P.O. Box # if different than Home Address:
City:
State:
Zip Code:
Email Address (if you have one):
Home Phone:
Work Phone:
Message Phone:
Cell Phone:
Best Time to Call You at Home?:
Best Time to Call You at Work?:
Your Occupation?:
Do You have any Physical Condition that may limit your ability to serve as a volunteer? If you do, please describe. (Your answer is voluntary and will be kept confidential. This information is used in placing you in an area you will be comfortable and needed.)
In Case of Emergency, Please notify:
What relationship is your Emergency Contact (i.e. Brother, Sister, Father, Mother, Uncle, Friend,etc.)
Emergency Contact's Name:
Emergency Contact's Address:
Emergency Contact's Phone Number:
Please answer one or more areas in which you would like to volunteer:	Pet Socialization - Companionship to sheltered animals awaiting adoption: walking, brushing, grooming dogs and cats. Pets in Public - Adoptable animals to public places, create awareness of HSCC and its mission. Walk animals in parades. Greeter - Meet customers entering shelter, explain adoption procedures, lost pet information, assist customers in pet selection. Community Events - Assist in setting up and operation of displays and booths for community events. Emergency Response - Aid the community in the evacuation of animals during natural disasters. Shelter Caretaker - Gardening, carpentry, caretaking, maintaining the pet walk, assist in cleaning kennel cages. Lost Pet Tracker - Cross-reference Lost and Found pet reports and newspaper reports with animals held in the shelter. Foster Care Cats - Care for pregnant mothers and newborn babies until 8 weeks of age and other medical care needs. Foster Care Dogs - Foster care is in your home until available for adoption. Be able to possibly assist with medical funds. Hauling Things - Need trucks and vans to help move things such as larger donations and special event equipment. Fund Raisers - Assist in activities to raise money for shelter projects and special events. Experience in Fund Raising is Helpful. Clerical - Assist the Staff with preparing reports, filing, labeling of newsletters and other administrative duties as necessary.

By submitting this application, I indicate that I understand and agree with the following:

I authorize the Humane Society of Cowlitz County to seek Emergency medical treatment in case of accident, injury or illness.

I agree to abide by the policies and practices presented to me at he Volunteer Orientation and Training Meeting.

You will be asked to sign this form at your Volunteer Orientation Meeting,

Signature____________________________________________ Date ____________________________________________

Guardian's Signature ______________________________________________ Date _______________________________

Printed Guardian's Name: _______________________________________________________________________________

REQUIREMENTS TO VOLUNTEER AT HSCC:

You must be over the age of 14 and have a desire to help animals. Children younger than 14 may work with the supervision of an adult of their choosing (parent, older friends, etc.) Shelter staff does not supervise young people. The volunteer will work closely with the shelter staff, the Education Specialist, kennel personnel and the Director of Community Relations.