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Volunteer Positions
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Volunteer Application
* Required fields
*First name:
*Last name:
Name of child (if applying with a child under 18):
*E-mail:
*Address line 1:
Address line 2:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip:
*Home phone:
Work phone:
*Is it OK to contact you at work?
Yes
No
*Date of birth (MM/DD/YYYY):
Date of birth of child applying:
Emergency contact:
Emergency phone:
Current occupation:
Employer name:
Education background:
Previous volunteer experience:
*What is the reason you want to volunteer?
Help animals
Personal enrichment
Required community service
School credit
*Are you willing to make at least a six month commitment to the volunteer program?
Yes
No
*Do you understand that you will be placed according to the need of the animals and to match your skill set?
Yes
No
Summarize your experience with animals
What do you hope to gain from your volunteer commitment at the Ozaukee Humane Society?
*Do you have any limitations (heavy lifting, limited walking, allergies, etc.)?
Yes
No
If yes, please explain:
Do you enjoy working alone or with others?
Alone
With staff
With the public
*Which volunteering opportunities interest you the most?
When will you be available to volunteer? (Please check all that apply.)
Morning
Afternoon
Evening
Weekends
Weekdays
*Have you been convicted of a misdemeanor or felony in the last seven years?
Yes
No
If yes, please explain:
(Conviction may not necessarily disqualify you from volunteering. We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.)
*Safety is our number one priority for animals, staff and volunteers. Due to certain risks inherent in handling animals, personal health insurance coverage is required to volunteer at the Ozaukee Humane Society. Do you have personal health coverage?
Yes
No
How did you hear about us?
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Our newsletter
Friend/Volunteer
Civic/Employer
Website
Other
Any additional comments?
In consideration of OHS accepting my application for participation in OHS programs, I agree to release and hold harmless OHS from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements, arising from or occasioned by my participation in OHS' programs. I understand there are certain risks inherent in handling animals and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention utilizing my own medical insurance.
I agree that OHS may photograph my participation in this program, and I hereby release any such photographs to OHS for use in its programs, publications and purposes.
I agree to the above waiver of liability
If you are a parent or guardian applying for a minor, you agree to the following: I give permission for my child to participate in the volunteer program at the Ozaukee Humane Society. I release and hold harmless the Ozaukee Humane Society, its agents, and employees from responsibility or liability arising out of my child’s participation. I understand there are certain risks inherent in dealing with animals. I certify that my child is covered under my health insurance policy should injury take place while volunteering or participating and I will be responsible for his/her medical bills.
I agree to the above parental consent statement.
2073 Highway W, Grafton, WI 53024
(262) 377-7580
info@ozaukeehumane.org
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